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Area: SMALL BUSINESS /SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 913 -6050 Serial Number 693725310 For Use by Recording Office I certify that the following -named taxpayer, under the requirements of section 6325 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory NE Sec of State John A Gale - UCC CRF1 additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on September 07 2010 , is authorized to note the books to show the release of this lien for these taxes and additions. 9913715846 - 0 P gs: 1 ORVIN RANDALL .1 Name of Taxpayer Filed: 05/24/2013 12:40 PM RANDALL J - ORVIN Residence 6 0 5 E SOUTH FRONT ST GRAND ISLAND, NE 68801 -5975 201304177 COURT RECORDING INFORMATION: Liber Page U Serial No. n/a 9910636617 -3 01006407 Date of Last Day for Unpaid Balance Tax Period Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2006 XXX -XX -4459 06/04/2007 07/04/2017 6104.22 6672 12/31/2006 XXX -XX -4459 04/01/2010 05/01/2020 572.29 6672 06/30/2007 XXX -XX -4459 04/01/2010 05/01/2020 5007.79 6672 09/30/2007 XXX -XX -4459 04/01/2010 05/01/2020 3404.70 6672 12/31/2007 XXX -XX -4459 04/01/2010 05/01/2020 211.49 6672 03/31/2008 XXX -XX -4459 04/01/2010 05/01/2020 1228.30 ******************************************* * * * * * * * * * * * * * *. * * * * * * * * * * * * * * ** Place of Filing Register of Deeds Hall POBOX 1692 Total $ 16528.79 Grand Island, NE 68802 -1692 05/24/2013 FRI 15:15 FAX 402 471 4429 UCC SECRETARY OF STATE This notice was prepared and signed at CHICAGO, IL , on this, the 3595 b Form668(Z) ( Rev. 10 -2000) Signature 08th day of May Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien 2013 Hall (NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 - 2000) Part 1 - RECORDING OFFICE CAT. NO 600261 lI005 /005 Title Operations Manager, Centralized Case Processing -Lien Unit 1.