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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />977431014 <br />For Use by Recording Office <br />Ns 0. st• ���� ucc ern <br />I certify that the following-named taxpayer, under the requirements of section 15325 (a) <br />y j o <br />�' <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 />1 <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed <br />on January 22 <br />pas: 1 <br />2 014 <br />, is authorized to note <br />the books to show the release of this lien for <br />g? U.I$ g 9 s R <br />P � <br />these taxes and <br />dditions <br />c1 ledt w of :5j <br />Name of Taxpayer <br />WILLIS SHOE AND BOOT INC, a Corporation <br />2014 02 5' <br />Residence379 N WALNUT ST <br />GRAND ISLAND, NE 68801 -4513 <br />COURT RECORDING INFORMATION: <br />Liber Page <br />UCC No. _ <br />_• Serial No. <br />n/a rx <br />/a 14729370 <br />_ <br />-9`') 201400395 <br />Kind of Tax <br />Tax Period <br />Ending <br />identifying Number <br />Date of <br />Assessment <br />Last for <br />R <br />Unpaid Balance <br />of Asi essmeet <br />(e) <br />(14 <br />(oJ <br />Id) <br />(01 <br />(0 <br />941 <br />03/31/2013 <br />47- 0821358 <br />12/23/2013 <br />01/22/2024 <br />. <br />8612.98 <br />941 <br />06/30/2013 <br />47- 01321358 <br />12/23/2013 <br />01/22/2024 <br />6398.12 <br />941 <br />09/30/2013 <br />47- 0821358 <br />12/23/2013 <br />01/22/2024 <br />4723.78 <br />**** * * ** <br />* * ** ** *** ** ****** <br />* * * * ** ** <br />k**** * ** ** *** <br />** ** *******lit********* <br />* ****** <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Totel <br />$ 19734. B8 <br />Grand Island, NE 68802 -1692 <br />Form 668 (Z) <br />(Rev. 10- 20001 <br />the <br />Apr. 35, 2514 3:18PM NE Secretary of State — UCC <br />Signature <br />11883 Department of the Treasury . Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />This notice wag prepared end signed at CHICAGO YT, on this. <br />16th day of April 2014 <br />No, 4551 P, 4/4 <br />Title <br />Operations .Manager, <br />Centralized Carne 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 Toe lion Rev. Rul. 71 -466. 1971 - 2 C.D. 4001 <br />Form 660 (Z) (Rev. 10 <br />Part 1 • RECORDING OFFICE <br />CAT. wo 600261 <br />4 <br />V <br />