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Form 668 (Z) <br />(Rav_,a2060) <br />11883 Department of the Treasury - Internal Revenue Service , <br />2 0 1 4 0, <br />Certificate of Release of Federal Tax Lien <br />Area <br />SMALL BUSINESS /SELF EMPLOYED AREA #4' <br />Lien Unit Phone: (900) 913 - 6050 <br />Serial Number <br />• <br />944740313 <br />For Use by Recording Office <br />NE z„ sii 54•644 J.,. A 6 -la ■ UCC CNPT1. <br />1 I 1111 ill 11 <br />9914734488 -6 Pm: 1 <br />Filed. 04/ AM COR <br />!certify that the following -named taxpayer,' under the requirements.of section 6326 (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 notloe of <br />internal revenue tax lien was filed an June 26 <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 />Residence379 N WALNUT ST <br />GRAND ISLAND, NE 68801 -4513 <br />COURT RECORDING YNFORMATION: <br />Liber Page Serial No. <br />n/a n/a 9913717533 -9 201305117 <br />Kind of Tax <br />(al <br />Tax nding <br />(b) <br />Idantllying Number <br />(c) <br />Date of <br />(d <br />Last <br />ne <br />(ef <br />Unpaid <br />of Assessment <br />in <br />940 <br />• <br />12/31/2012 <br />47- 0821358 <br />05/13/2013 <br />06/12/2023 <br />• <br />• <br />• <br />4919.92 <br />Place of Filing <br />Register of Deeds <br />Hale. POBOX 1692 Total <br />Grand Island, NE 68802 - 1692 <br />$ . 4919.92 <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />pr. 21 2014 3:13PM NE Secretary of State — UCC <br />the <br />Signature <br />09th day of April , 2014 <br />No. 4440 P. 4/4 <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 Tien Rev. Rel, 71 - 468, 1971 - 2 C.B. 403) Form 6dA (Z) (Rev. 10-2000) <br />• Part 1 - RECORDING OFFICE Form <br />NO 600261 <br />408. <br />