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03/28/2013 THU 14:59 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Name of Taxpayer <br />DORIS MACKU <br />Residence 106 E FRONT HWY 30 <br />ALDA, NE 68810 <br />Liber <br />n/a <br />Kind of Tax <br />(a) <br />Place of Filing <br />the <br />Signature <br />Form 668 (Z) <br />(Rev. 10-2000) <br />3595 Department of the Treasury - Internal Revenue Service 2 <br />�Of342474 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />941 <br />941 <br />941 <br />941 <br />* * * * * * ** <br />Tax Period <br />Ending <br />(b) <br />06/30/2008 <br />09/30/2008 <br />12/31/2008 <br />06/30/2009 <br />13th day of March <br />Certificate of Release of Federal Tax Lien <br />Identifying Number <br />(c) <br />47- 0824016 <br />47- 0824016 <br />47- 0824016 <br />47- 0824016 <br />2013 <br />Serial Number <br />COURT RECORDING INFORMATION: <br />Page mr' Nn Serial No. <br />n/a 9910620465 -2 201001175 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 - 1692 <br />624783810 <br />Date of <br />Assessment <br />(d� <br />12/28/2009 <br />12/28/2009 <br />12/28/2069 <br />12/28/2009 <br />****** * * * * * * * * * * * * * * * * * * *, * * * * * * * * * ** <br />y y y <br />I 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 February 22 <br />2010 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Hall <br />Last Day for <br />efilmg <br />'63) <br />01/27/2020 <br />01/27/2020 <br />01/27/2020 <br />0127/2020 <br />For Use by Recording Office <br />NE Sec of Siete John A Gale - UCC CRFTL <br />9913711807 -4 ' :PS s; 1 <br />MRCKU DORIS <br />Filed: 03/28/2013 01:58 PM <br />IJ003 /003 <br />Unpaid Balance <br />of Assessment <br />(f) <br />1079.83 <br />2387.62 <br />1477.94 <br />1614.45 <br />*****1l <br />Total $ 6559.84 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />Title <br />Operations N pager, <br />Centralized case1 -Lien Unit <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to tlhe validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />