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to <br />Form 6 (Z) <br />(Rev. 10-2000 <br />11883 Department of the Treasury - internal Revenue Service <br />• Certificate of Release of Federal Tax Lien. <br />Area: <br />AREA SMALL BUSINEs8 /BELF EMPLOYED EA # <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />773353211 <br />F IN sae <br />dt SE <br />^- <br />M* <br />- - <br />Jahw <br />-J�-- nos:.,.. <br />R 9afa _ y« Ci i. <br />I certify that the following - ['tamed taxpayer, under the requirements of section 0325 (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 8321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />8914774837 -tl <br />REIS JEFFREY i <br />Internal revenue tax hen was filed <br />on April 21 <br />Flied: 54/30/2014 01:51 P11 <br />2011 , is <br />authorized to note <br />the books to show the release of this lien for <br />. these taxes and additions. <br />Name of Taxpayer • <br />JEFFREY M REIS . <br />2 01 4 0 2 5 53 <br />• <br />Residence 47.4 5 MANCHESTER RD <br />GRAND ISLAND,. NE 68803 <br />COURT RECORDING INFORMATION: <br />Liber Page <br />II Serial <br />No. <br />n/a n/a <br />91,1659526 0201103041 <br />Kind of Tax <br />Tax End <br />Identifying Humber <br />Amt <br />� <br />Unpaid <br />f Assessment <br />(al <br />(b) <br />(a) <br />(dJ <br />(a) <br />it) <br />6672 <br />06/30/2009 <br />XXX-Ix -7247 <br />12/27/2010 <br />01/26/2021 <br />3570.24 <br />6672 <br />09/30/2009 <br />XXX -XX -7247 <br />12/27/2010 <br />01/26/2021 <br />4220.26 <br />6672 <br />12/31/2009 <br />XXOL -XX -7247 <br />12/27/2010 <br />01/26/2021 <br />2746.98 <br />6672 <br />03/31/2010 <br />XXX-XX -7247 <br />12/27/2010 <br />01/26/2021 <br />2178.70 <br />** Fie+4***- <br />k** **** *iE,t•I ** <br />**iF*driUlMie*nY, • boric <br />** ** * *iFaylr***Yt****k**** <br />, ** * ************* <br />Place of Filing <br />Register of Deeds • <br />Hal. POBOX 1692 Total <br />$ 12716.18 <br />Grand Island, NE 68802 -1692 <br />Apr. 30, 2014 3:18PM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO tr.. , on this, <br />the 16th day of April <br />Signature <br />2014 <br />No. 4551 P. 3;/4 <br />Title <br />Operations Manager, <br />Centralized Case Proceeaing -Lien Unit <br />(NOTE; Certificate of officer authorized by law to take acknowledgments is not essential to the valiidty of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 - 2 C.B. 409) Form i6B (Z) (Rev. 10 - 2000) <br />Fart I - RHCORIDIING emu CAT. NO 500261 <br />