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Form 668 <br />(Rev. to-zoom (Z) <br />QQ <br />14583 Department of the Treasury - Internal Revenue Service 2014009 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL 9USINSB /SEL7 EMPLOYED AREA 44 <br />Lien Unit Phone: (600) 913 -6050 <br />Serial Number <br />941569313 <br />For Use by Recording Office <br />NE Sea N £4.4a 1.1.. a Oslo - Ucc VIM <br />, <br />11111 ' <br />9914736869 - 9 Pas; 1 COA <br />Fii 82/i2/20 14 x.09 PM <br />• <br />• <br />. <br />• <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 June 07 <br />2013 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. • <br />Name of Taxpayer • <br />WILLIS SHOE AND BOOT INC, a Corporation <br />Residence 3 7 9 N WALNUT ST <br />GRAND ISLAND, NE 68801 -4513 <br />COURT RECORDING INFORMATION: <br />Page Serial . <br />n/a 2 <br />n/a n/a 9913716536 20130448383 . <br />• <br />Kind of Tax <br />AO . <br />Tax Period <br />. Ending <br />( <br />identifying Number <br />W <br />47- 0821358 <br />' 47- 0821358 <br />47- 0821358 <br />47- 0821358 <br />7Y*****v*******$ <br />Date of <br />Assessment <br />01/07/2013 <br />01/07/2013 <br />04/29/2013 <br />04/29/2013 <br />7R', A, R'k*** <br />Last Day for <br />Rafi6ng <br />r•, <br />Unpaid Balance <br />of Assessment <br />r1 <br />941 <br />941 <br />941 <br />941 <br />******** <br />03/31/2012 <br />.06/30/2012 <br />09/30/2012 <br />12/31/2012 <br />*ik***********•**'**** <br />02/06 2023. <br />02/06/2023 <br />05/29/2023 <br />05/29/2023 <br />** * *'*'* *#v*k**** <br />956.01 <br />6506.27 <br />6899.99 <br />6275,77 <br />* ** ***'i * ** <br />• <br />Place of Filing <br />Register at Deeds <br />• Hall POBOX 1692 Total <br />Grand Island, NE 68802 <br />$ 20638.04 <br />cFeb.19. 2014 3:14PM NE Secretary of State - UCC <br />This notice was prepared and signed at <br />the <br />Signature <br />06th day of February , 2014 <br />CHICAGO, IL <br />No. 3402 P. 4/4 <br />, On this, <br />Title <br />Operations Manager, <br />Centralized Case Processing -Lien Unit <br />(NOTE: Cortiticate of officer authorized by low 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 dds (I) IRpv_ 10-20001 <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />2 <br />