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I <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />3595 Department of the Treasury - Internal Revenue Service 201305607 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />919174913 <br />NE Sec of S ate John A Gale - UCC CAM <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 <br />on February 05 <br />2013 , is authorized <br />to note <br />the books to lien <br />9913718618 <br />-0 <br />Pss: 1 <br />show the release of this for <br />FISCHEP. CONSTRUCTION NC A COR <br />these taxes and additions. <br />Filed: 071 1/2013 09: 7 AM <br />Name of Taxpayer <br />FISCHER CONSTRUCTION INC, a Corporation <br />Residence 9 5 0 8 S HWY 11 <br />WOOD RIVER, NE 68883 -9345 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/a 9913708063 <br />-1 201300961 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reuling <br />of Assessment <br />(a) <br />(b) <br />(cl <br />(dl <br />(e) <br />(f) <br />941 <br />09/30/2011 <br />26- 0047293 <br />-- <br />01/07/2013 <br />02/06/2023 <br />12551.75 <br />941 <br />12/31/2011 <br />26- 0047293 <br />01/14/2013 <br />02/13/2023 <br />12268.07 <br />941 <br />03/31/2012 <br />26- 0047293 <br />01/07/2013 <br />02/06/2023 <br />9361.20 <br />941 <br />06/30/2012 <br />26- 0047293 <br />01/07/2013 <br />02/06/2023 <br />3059.86 <br />941 <br />09/30/2012 <br />26- 0047293 <br />01/14/2013 <br />02/13/2023 <br />13753.54 <br />********************************* <br />t********** * <br />* * * * * * * * * * * *v* <br />* * * * * * * * * * * * * ** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 50994.42 <br />Grand Island, NE 68802 -1692 <br />07/11/2013 THU 14:47 FAX 402 471 4429 UCC SECRETARY OF STATE <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />Signature <br />26th day of June <br />(NOTE: Certificate of officer authorized <br />Federal Tax lien Rev. Rul. 71 -466, 1971 <br />2013 <br />Hall <br />Title <br />Operations Manager, <br />Centralized Case Processing -Lien Unit <br />by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part I • RECORDING OFFICE CAT. NO 600261 <br />Ii002 /003 <br />