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Notice of Federal Tax Lien Serial Number (a) Recording Information (b) Date Recorded (c) Taxpayer Identification Number (d) Amount Shown on Lien (e) 951027013 201306185 991306185 07/31/2013 XXX -XX -9943 $42,395.47 Form 669 -B (September 2008) Department of the Treasury — Internal Revenue Service Certificate of Discharge of Property From Federal Tax Lien (Section 6325(b)(2)(A) of the Internal Revenue Code) 2014041 61 TIM J DENMAN of 7773 W ALDA ROAD, City of ALDA, County of Hall, State of NEBRASKA, is indebted to the United States for unpaid internal revenue tax in the sum of Forty Two Thousand Three Hundred Ninety Five and 47/100 Dollars ($42,395.47) as evidenced by: A lien attaching to all the property of the taxpayer was filed to secure the amount owed. The notice of lien was filed with the Register of Deeds, for the County of Hall, in accordance with the applicable provisions of law. The lien listed above is attached to certain property described as: Lot One (1), Denman Subdivision, Hall County, Nebraska, EXCEPT a tract more particularly described in Return of Appraisers recorded as Document No. 92- 109950 NOTE: Always include the address of real property or a descriptive narrative of personal property in this section when using "See Attachment" and a more detailed description is being attached. The Internal Revenue Service acknowledges receipt of Seventeen Thousand Two Hundred Seventy -Five and 62/100 dollars ($17,275.62), the Internal Revenue Service discharges the above described property from the lien. However, the lien remains in effect for all other property, or rights to property, to which the lien is attached. Title ADVISORY GRP MGR Signature KATHLEEN M KELM Catalog No. 16751C Date July 7, 2014 (Note: Certificate of officer authorized by law to take acknowledgements is not essential to the validity of Discharge of Federal Tax Lien. Rev. Rul. 71 -466, 1971 -2, C.B. 409.) Form 669 -B (Rev. 9 -2008)