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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />658341610 <br />For Use by Recording Office <br />. <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />State John A Gale - UCC CRF1 <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />NE <br />Sec of <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 />li <br />111 <br />III <br />1 <br />1 <br />11 <br />1 <br />internal revenue tax lien was filed <br />on June 01 <br />2010 , is authorized to note <br />the books to show the release of this lien for <br />9913715845 <br />- 8 <br />Pas' <br />these taxes and additions. <br />RLDR GRILL & GROCERY <br />PM <br />Name of Taxpayer <br />Filed: 05/24/2013 12:40 <br />DORIS MACKU <br />ALDA GRILL & GROCERY <br />Residence 106 E FRONT ST <br />10 4: 3 0 4 t 7 6 <br />ALDA, NE 68810 -9733 <br />CO • _ **DING INFORMATION: <br />Liber Page _- - No. erial No. <br />n/a ilia 9910628884 -8 01003793 <br />Kind of Tax <br />Tax Pert ----'---- <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Day for <br />Refiling <br />Unpaid Balance <br />of Assessment <br />(a) <br />(b) <br />(c) <br />Id) <br />(e) <br />(0 <br />941 <br />03/31/2009 <br />47- 0824016 <br />02/01/2010 <br />03/02/2020 <br />1778.91 <br />********************************* <br />t********* * * <br />* * * * * * * * * * * * <br />* * * * * * * * * * * * * * * ** <br />, <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 1778.91 <br />Grand Island, NE 68802 -1692 . <br />05/24/2013 FRI 15:15 FAX 402 471 4429 UCC SECRETARY OF STATE -+-.- Hall <br />c, <br />Form 668 (Z) <br />(Rev. 10-2000) <br />3595 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />This notice was prepared and signed at CHICAGO, IL <br />the <br />Signature <br />08th day of May <br />2013 <br />Title <br />Operations Manager, <br />Centralized Case Processing -Lien Unit <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.8. 409) Form 668 (Z) (Rev. 10 - 2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />11004 /005 <br />on this, <br />L <br />