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** PLEASE RETURN ORIGINAL TO ** <br />COMPLIANCE DIVISION <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN, NE 68509-4609 <br />G;,h,:I !m. { :root ',er,l^. <br />202401571 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2404000440-0 Pages: I <br />Debtor Name: MICHELLE KROGER <br />Filing Date and Time: 04/12/2024 09:16 AM <br />State Tax Lien Statement of Continuation or <br />Termination; Certificate of Partial Release <br />or Subordination <br />Pursuant to the revenue laws 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 />Please Do Not Write In This Space <br />Nebraska ID Number <br />13212680 <br />Federal ID Number <br />Social Saeuritp Number <br />XXX -XX -2605 <br />Spouse's Social Security Number <br />Lten Serial Number <br />12049160 <br />t.ren Fled With <br />Serretary of State, Register of Deeds <br />Dale of Lien <br />02/20/2020 <br />lax Program <br />1 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />MICHELLE KROGER <br />D/R/A RUSTIC SEAGULL <br />3404 W 13TH STE 156 <br />GRAND ISLAND NE 68803-2353 <br />Tax Years 2015.2019 <br />UCC Instrument Number 2002001161-9 County Instrument Number 202001276 <br />Type of Action <br />Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />I hereby ceniy that the Nebraska Department of Revenue hes complied with the laws of the State 01 reeesasea in determination o! the <br />continuation, termination, barbel release, or subordination intimated above. <br />Preparer: Skjnature <br />beth fteherf5nebraek OV <br />Email <br />Revenue Senior Agent 04/05/2024 (3081535-8294 <br />Title Date Phone Number <br />Revenue Stpervicrtr <br />Tale <br />V-8--070-(1 <br />Dale 4.232-1998 flan. 84008 <br />Supersedes u232.1988 R.. 14015 <br />