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02/22/2013 FRI 14:40 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Form 668 (Z) <br />!Rev. 10 -2000) <br />Name of Taxpayer <br />SCOTT & DEBRA R PEERS <br />14845 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />For Use by Recording Office <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />1 certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code 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 September 18 <br />2009 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Residence 527 MEVES AVE <br />GRAND ISLAND, NE 68801 -7858 <br />Liber <br />n/a <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />Place of Filing <br />the <br />COURT RECORDING INFORMATION: <br />Page aim Serial No. <br />n/a 200907583 <br />Tax Period <br />Ending <br />(b) <br />12/31/2006 <br />12/31/2007 <br />* * * * * * * * * ** <br />This notice was prepared and signed at <br />Identifying Number <br />(c) <br />XXX -XX -3300 <br />XXX -XX -3300 <br />* ** * * * * * * * * * * *, <br />06th day of February , 2013. <br />Serial Number <br />580898909 <br />Date of <br />Assessment <br />(d) <br />11/05/2007 <br />11/03/2008 <br />* * * * * * * * ** <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />CHICAGO, IL <br />Hall <br />NE Sec of <br />20130144) <br />Stale John R Gal <br />CC <br />9913709190 -1 Pss: <br />PEERS DEBRA R <br />Filed: 02/22/2013 01:23 PM <br />RFTL <br />Last Dayy for Unpaid ssessment <br />Refitting <br />(J (f) <br />12/05/2017 11858.84 <br />12/03/2018 1843.31 <br />* ** * * * * * * * * * *. * * * * * * * * * * * * * * ** <br />Total $ 13702.15 <br />, on this, <br />Signature Title <br />Operations Manager, <br />Centralized Case Processing - Lien Unit <br />(NOTE: Certificate of officer authorized by law to take __,______ is not essential to the validity of Certificate of Release of <br />CAT. NO 600261 <br />Federal Tax lien Rev. Rul. 71-466,1971 • 2 C.B. 409) Form 668 (Z) (Rev. 10 -20001 <br />Part 1 - RECORDING OFFICE <br />10004 /004 <br />( <br />