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orm 668 (Z) <br />IRev. 10.2000) <br />14845 Department of the Treasury - Internal Revenue Service <br />201305139 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA # <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />795006011 <br />For Use by Recording Office <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 />NE Sec of State John R Gale - UCC COIL <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 <br />on June 29 <br />2011 , is authorized <br />to note <br />the books to show the release of this lien for <br />- 0 Pgs ` 1 <br />these taxes and additions. <br />9913717647 <br />HRRRIS MICHAEL K <br />Filed: 06/27/2013 10:29 AM <br />Name of Taxpayer <br />MICHAEL K HARRIS <br />Residence 4 3 5 9 W CAPITAL AVE <br />GRAND ISLAND, NE 68803 -1415 <br />e -" , 'SING INFORMATION: <br />Liber Pa.- UCC No. Serial No. <br />n/a 'r /a 9911665186 -5 201104814 <br />Tax Pen. <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(e) <br />(f) <br />1040 <br />12/31/] <br />N N N N N N N N N N N N N N N# <br />000000000000000# <br />1/40 l0 1/40 1/40 1/40 1/40 W l0 10 1/40 10 W 1/40 '.0 # <br />N C V N N N N N N N N N N N N N# <br />1 1 1 1 1 1 1 1 1 1 1 1 1 1 lie <br />lit I <br />04/18/2011 <br />05/18/2021 <br />17658.92 <br />1040 <br />12/31/] <br />02/28/2011 <br />03/30/2021 <br />99522.49 <br />2040 <br />12/31/] <br />03/07/2011 <br />04/06/2021 <br />47631.96 <br />1040 <br />12/31/] <br />02/21/2011 <br />03/23/2021 <br />23124.78 <br />1040 <br />12/31/] <br />03/07/2011 <br />04/06/2021 <br />22036.28 <br />1040 <br />12/31/1 <br />02/07/2011 <br />03/09/2021 <br />11286.15 <br />1040 <br />12/31/] <br />01/03/2011 <br />02/02/2021 <br />23917.54 <br />1040 <br />12/31/ <br />12/27/2010 <br />01/26/2021 <br />24688.66 <br />1040 <br />12/31/2 <br />02/20/2006 <br />03/21/2016 <br />1040 <br />12/31/2 <br />12/27/2010 <br />01/26/2021 <br />1040 <br />12/31/2 <br />02/07/2011 <br />03/09/2021 <br />24330.82 <br />1040 <br />12/31/2 <br />02/16/2009 <br />03/18/2019 <br />1040 <br />12/31/2 <br />02/07/2011 <br />03/09/2021 <br />26373.69 <br />1040 <br />12/31/2005 <br />02/16/2009 <br />03/18/2019 <br />1040 <br />12/31/2005 <br />02/07/2011 <br />03/09/2021 <br />23328.72 <br />* * * * * * * * <br />* * * * * * * * * * ** <br />* * * * * * * * ** <br />* * * * * * * * * * * *.t <br />* * * * * * * * * * * * * * ** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 343900.01 <br />Grand Island, NE 68802 -1692 <br />06/27/2013 THU 14:30 FAX 402 471 4429 UCC SECRETARY OF STATE <br />the <br />Signature <br />18th day of June <br />Hall <br />Ij 002 / <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.B. 409) Form 668 (Z) (Rev. 10 <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />