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UEBR SK -A - <br />Good Life. Great Service. <br />•11.1111NON *MM. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2404000117-5 <br />Debtor Name: ANNABELLA L MASON <br />Filing Date and Time: 04/03/2024 08:57 AM <br />Pages: 1 <br />202401418 <br />State Tax Lien -- Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Pursuant to the revenue taws of the State of Nebraska, the <br />Tax Commissioner hereby gives notice that the State Tax Lien <br />against the taxpayer Identified below, the original notice of which <br />was duly filed of record as indicated, is continued, terminated, <br />partially released, or subordinated, to the extent indicated below. <br />Plena CM Not write In This Spans <br />Nebraska ID Number <br />94396302 <br />Federal ID Number <br />Social Security Number <br />XXX -XX -5531 <br />Spouse'. Social Security Number <br />Len Serial Number <br />12456801 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date at Lten <br />01/09/2024 <br />Tait Program <br />22 <br />Courcy <br />HALL <br />Business Nemo and Location Address <br />Taxpayer Name and Malang Address <br />ANNABELLA L MASON <br />3111 COLLEGE ST APT 96 <br />GRAND ISLAND NE 68803 <br />Tax Years 2022 <br />UCC Instrument Number 24010005420 <br />County Instrument Number 202400253 <br />Type of Action <br />Tcrminalion of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated <br />I hereby aertlfy that the Nebraska Department of Revenue has compiled with the laws of the State of Retires** in dsterminetksh of the <br />continuation, termination, partial release. or subordination Indicated above. <br />Revenue Agent 03/27/2024 (402)471-5788 <br />0Prepares Signature TNM Date Phone Number <br />thuy.bouc@nebraska.gov <br />Email address <br />,civ-<,. ,G. -4+1a J Revenue Supervisor 03/27/2024 <br />�au rxed Slgnatur Tile Date 44/Sell10 n.e e•201e <br />&urine*. 4432.1333 flea. 14015 <br />