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1E_ <br />Good Life. Great Serv..ce. <br />202403798 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2408000268-4 Pages: 1 <br />Debtor Name: RUSSELL 0 FORSYTHE JR <br />Filing Date and Time: 08/09/2024 09:32 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 />Rosso Do Not Write in This Span <br />Nebraska ID Number <br />20129483 <br />Federal ID Number <br />swat Security Number <br />XXX -XX -5413 <br />Spouse's Smit Seaway Number <br />XXX -X363074 <br />Lien Serial Number <br />11036629 <br />Lien Filed WO <br />Secretary of State, Register of Deeds <br />Date of Lien Tax Program <br />03/01/2010 22 <br />County <br />HALL <br />1 Business <br />Name and Location Address <br />Taxpayer Name and Matting Address <br />RUSSELL 0 FORSYTHE JR <br />LORI FORSYTHE <br />4014 BUCKCJNGHAM DRIVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2007: 2008 <br />UCC Instrument Number 99106214778; 19090002971 <br />County Instrument Number 201001447; 201905534 <br />Type of Action <br />® Termination of Tax The State Tax Lien is hereby fully terminated. <br />Lien <br />I hereby certify that the Nebraska Department of Revenue hero complied with the lees of the State of Nebraska in tlaermiriallon of the <br />continuation. termination, partial mileage, or subordinMbn Indicated above. <br />0 16 u3a. A. t t Ftr'ta, <br />Preparers Signature <br />chris.dittrnar@nebraska.gov <br />Email Ad} -as <br />zed Signature <br />Revenue Agent 08/07/224 (402)471-5712 <br />Duda "kIgrmr Number <br />Title <br />Revenue Supervisor 08/07/2024 <br />Title Dab 4.23219414 Rev. 64011 <br />Seperseere e432.16e$ Roc 14016 <br />