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10/O1/2012 MON 15:17 FA7t 402 471 4429 UCC SECRETARY OF STATS ��� 8a11 <br />�004/005 <br />�0120820� <br />� �, <br />, <br />Form 668-H Department of tha Treasury - I�temal Revenue Service <br />�Rev. octot�er 2004� Certificate of Release of <br />Federal Estate Tax Lien <br />SB/SE #9 <br />a� o�� <br />Serial number <br />I certiiy that the requirements of section 6325(a) of the Intemal Revenue Code <br />have been sadsfied for the tax liability (including all statutory addidons) shown <br />below on the following-named estate. and that the lien for the tax and statutory <br />addidons has been released. The p � une 29 B�Jul t office�v�F�e�e notice of <br />intemal revenue tax was filed on y , , <br />15 <br />authorized to note in the books the release of s lien, as far as it relates to <br />the follawing. INST#200406741 U G#99043�W368-4 <br />Name of Estate Estate of John C. Davis <br />� <br />Name and address of agent designated by the quaGfied heirs for dealing with IRS <br />Daniel P. Davis <br />9 4960 W. Cedarview Road <br />Wood River, NE 68883 <br />Date of death <br />0401-2002 <br />DecedenPs social security number (SSN) <br />XXX-XX-9449 <br />Des�iption of properly to which lien attaches <br />Qualified Heirs: Francis T. Davis, John T. Davis. James D. Davis, Daniel P. Davis, Michaei J. Davis, Kevin A. Davis and <br />Karen A. Rieke <br />The East Haif of the Southeast Gluarter (E1/2SE1/4) of Section Fourteen(14). Township Ten (10) North, Range Twelve (12) <br />West of the 6tl� P.M., Hall County, Nebraska <br />Place of Filtng County Recorder <br />Hall County Grand Island, NE 68809 <br />This notice was prepared and signed at San Jose, California � on <br />this <br />the 5 _�� <br />5ignature � <br />day of September � 2012 <br />r�e <br />Part 3— To be kept by Recflrding Office Catalog No.16744N www.irs.gov Form 668-H (Rev. 10-2004) <br />(For Op6'ona/ Use by Recording OHfce) <br />Amount of addilional tax <br />$ 295,063.00 <br />N6 Sae of S�e4e Jchn R Gale - 1lCC CRFTL <br />9912700243-3 Pss: 7 <br />DAVIS DRNI0. P. <br />Filed: 10/01/2012 11:61 AM <br />� <br />I <br />� <br />i <br />;� ' <br />