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N <br />Good Life. Greet Service. <br />11.110.10.0.0.1111.1.11#6 <br />202402417 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2405000803-4 Pages: 1 <br />Debtor Name: DAVID SHAFFER <br />Filing Date and Time: 05/31/2024 09:54 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 bled of record as Indicated, Is continued, terminated, <br />partially released, or subordinated, to the extent Indicated below. <br />Phew Do Not Write afllda Space <br />Nebraska ID Number <br />99504030 <br />Federal Cr Number <br />'Soca Seaway Number <br />XXX -XX -3740 <br />Sparse Social Seaway Number <br />Lien Serial Number <br />11804009 <br />lien Fled With <br />Secretary of State, Register of Deeds <br />Date of Uen <br />03/23/2018 <br />Tie Program <br />22 <br />Canty <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DAVID SHAFFER <br />2126 NORTH PARK AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2011: 2012: I015 <br />UCC Instrument Number 99188081165 <br />County Instrument Number 201801819 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hereby eerily that On Nebraslta Department 01 Revenue has compiled Walt the lees of Ole State of Nabnela N deterrr.tabon of On <br />cants uilion. MmMndon, partial release. or suborcenadon Indicated store. <br />)P.Prperers Signalise <br />Revenue Agent <br />chris.dittrnar®ntbraska.gov <br />Tills <br />05/17/2024 (402)471-5712 <br />Daft Phone Number <br />Revenue Supervisor 05/17/2024 <br />Tale Dale 44312.19411 Ree. 54010 <br />Supenedee 4291-tMa nor. 1.2015 <br />