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202601853
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3/25/2026 3:47:47 PM
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3/25/2026 3:47:47 PM
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202601853
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202601853 <br />Good Life. Great Service. <br />OIPACTN[NT OP OIVINCI <br />Nebraska Secretary of State <br />-FILED- <br />File #: 2603063332-0 <br />Date Filed: 3/25/2026 9:03 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 />14914395 <br />Federal ID Number <br />Social Security Number <br />XXX-XX-1766 <br />Spouse's Social Security Number <br />Lien Serial Number <br />12318398 <br />Lien Filed With <br />Secretary of State, Register of Deeds <br />Date of Lien <br />07/26/2023 <br />Tax Program <br />1 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DAWN SICH <br />3304 W CAPITAL AVE <br />GRAND ISLAND NE 68803 <br />Tax Years 2022, 2023 <br />UCC Instrument Number 2308000039-5 <br />County Instrument Number 202303926 <br />Type of Action <br />® Termination of Tax <br />Lien <br />The State Tax Lien is hereby fully terminated. <br />I hereby certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determination of the <br />continuation, termination, partial release, or subordination indicated above. <br />Revenue Senior Agent 03105L2026 (402)595-2247 <br />Preparer's Signature Title Date Phone Number <br />teresa butk@nebraska <br />go <br />Email Address <br />,Authorized Signature <br />Revenue Senior Agent <br />Title <br />Date 4.232-1988 Rev. 8-2018 <br />Supersedes 4-232.196e Rev. 1-2015 <br />C <br />C <br />I- <br />C <br />t <br />k <br />t <br />I• <br />C <br />t- <br />C <br />I• <br />r <br />r <br />r <br />k <br />C <br />I• <br />C <br />r <br />r <br />C <br />
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