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05/16/2012 WED 13:50 FAX 402 471 4429 UCC SECRETARY OF STATE -��� 8a11 <br />�003/003 <br />Form 668 (Z) <br />fRev. 10-2000) <br />3592 Department of the T�easury - Internal Revenue Service 2 012 0 3 9�� <br />Certificate of Release of Federal Tax Lien <br />Area: Serial Number <br />SMALL BIISINESS/SELF II�LQYPD AREA #4 <br />Lien Unit Phone (800? 913-6050 741736111 <br />I certify that the following-named taxpayer, under the raquirements of section 6326 {a) <br />of the Irrternal Revenue Code has satisfied the taxes listed 6elo.w and all statutory <br />additions. Therefore, the lien provided by Cvde section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on January 19 <br />2 011 , is authorized to note the �books to show the release of thia lien far <br />these taxes a�d additions. <br />NORMA C <br />Residence 107 CENTENNIAL DR <br />GRAND ISLAND, NE 68801-23Q7 <br />COUR,T RECORDING INFORMATION: <br />Liber Page U '[o�—� Serial No. <br />n/a nja 9911648730-9 201100422 <br />Tax Peri�l <br />Kind of Tax Endin� IdeMi <br />Date of . <br />Assessment <br />1040 I 12/31/2007� XXX=XX-4147 �05/11/2009 <br />�r****�r**�****,�**�*** �*�x***�r�r��r��r� **�*ar�r��*�t <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-16 <br />Total �$ 15792.27 <br />This notice was prepared and signed at <br />the 02nd day of May <br />2012 <br />CHICAGO, IL <br />, on this, <br />Signature ^ — �� <br />. �� � <br />(NOTE: Certificate of officer authodzed by lew to take ecknowledgments is not essentia{ to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466. 1971 - 2 C.B. 409) form. b68 (Z) (Rev. 10-20001 <br />Part 1- RECORDING OFFICE CAT. NO 600261 <br />Title <br />Operations Manager, � <br />Central Case Processi Unit <br />D NORPlA C <br />; q5/16/2012 08:58 FlM <br />Last Day for llnpaid Balance <br />Refiling of Assessment <br />Ee) (t' <br />06/10/2019 15792.27 <br />*��*���r�r��* �r�*�����r**��**�r* <br />e <br />� <br />�� <br />�. <br />i <br />!� <br />G <br />�. <br />i-. <br />� <br />'>. <br />� <br />;. <br />i' <br />r <br />