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04/04/2012 WSD 15:22 FAX 402 471 4429 UCC SSCRETARY OF 5TATE ��� Hall <br />i� <br />� <br />Area: Serial Number <br />SMALL BOSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone (800) 913-6050 793986711 <br />1 cert'rfy that the followirtg-named taxpayer, under the requirements of section 63251a) �, <br />of the {ntemal Revenue Code has satisfied the taxes listed below and alf ststutoy ' <br />additians. Therefore, the lien provided by Code section 8321 for these taxes and , <br />additions has been r�leased. The proper officer in the office where the notice ofi � <br />internal revenuo tex lien was filed on June 3 Q <br />2 O l l. , is authorized to note the books to show the release of this lisn for <br />these taxes and additions. � <br />wi --- -t �--"--•--- <br />SHARON A <br />ResidencePO B�X 768 <br />WOOD RIVER, �3 68883-0768 <br />COIIRT RECORDING INFORMATION: <br />Liber Page Ta � � Serial No'. <br />n/a n/a 9911665277-8� 201104859 <br />Tax Period <br />Kind of Tau ' End'mg <br />3592 Department of the Treasury - Inte�nal Revenue Service <br />Form 668 (Z) <br />,Rey. ;a2�, Certificate of Release af �ederal Tax Lien <br />Date of Last Da for I�npaid �alance <br />Assessment Refi�m# of �►ssessment <br />1040 12/31/2001 XXX-XX-3850 09/11/24a6 l0/11i2016 9191.7� <br />1040 12/31/2002 XXX-XX-3850 09/�1/2006 10/11/2016 11,814.08 <br />1040 12/31/2004 XXX-XX-3850 03/24/200$ 04/23/2015 11547.56 <br />1044 12/31/2005 XXX-�X-3850 04/19/ZO10 05/19�2020 13137.�6 <br />1040 12/31/2006 XXX-XX�3B50 04/19/2010 05/19/2020 12198.�9 <br />*,x,�**�r** ****�r****� ,x*t,t��*�r**�** ********** �t*�a�r*,��*���* **�,�*��r��*,��*��r,� <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-16 <br />NE <br />SHRRON A <br />694/04/2012 10:28 AT7 <br />�0120264� <br />Totaf �$ 57889.37 <br />This notice was prepared and signed at <br />the 21st day of March , 2012 <br />Signature <br />CHICAGO, IL <br />�004/004 <br />, on this, <br />Title Director, �azr�us Complianca <br />Operata.or�s <br />(NOl'E: Certificate of office� authorized by {aw to take acknowtedgments is not essentiat to tne vauony or �eRmca:e or ne�ease vr <br />Federal Tax lien Rev. Rul. 77-466, 1971 - 2 C.B. 409) Form 6b8 (Z) lRev. 10-2000f <br />�arc 1 - RECORDiWG OFF1C� �nr. ��; c3 Fi��261 <br />�i' <br />, � <br />