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202506239 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2511000096-2 Pages: 1 <br />Debtor Name: MICHELLE E ANDERSON <br />Filing Date and Time: 11/05/2025 01:27 PM <br />NE.f4, <br />Goan - `e Great Seri ce <br />etMa. 0.0 M MY,Mue <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 flied of record as indicated, is continued, terminated, <br />partially released, or subordinated, to the extent indicated below. <br />Ptease Oo Not Mee in This spew <br />Nebraska ID Number <br />97185744 <br />Federal ID Number <br />Social Security Number <br />XXX XX-1772 <br />Spouse's Social Security Number <br />Lien Sera, Number <br />12200032 <br />Lien Fled Wish <br />Secretary of State, Register of Deeds <br />Date of lien <br />05/24/2022 <br />Tax Program <br />22 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />MICHELLE E ANDERSON <br />2204 NORTH HOWARD AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2019 <br />UCC instrument Number 22060000556 <br />County Instrument Number 202204079 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully termitlated. <br />I hereby certIfy Mal the Nebraska Department of Revenue has complied stet the laws of the State of Nebraska In determination of the <br />continuation. termination. parcel release. or auborduul.on indicated above. <br />,Preparees Signature <br />jessica.nawrocki@nebrasica.gov <br />nebrasita.gov <br />Erna ,..rose <br />Revenue Manager <br />Tm. <br />10/30/2025 (402)471-2518 <br />Den Phone Number <br />Revenue Supervisor 10/30/2025 <br />Signature Title Dan a222-Iles tie .dOre <br />Supersede. 4222-I eee Rev. 1-2015 <br />