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Notice of Federal <br />Tax Lien <br />Serial Number <br />(a) <br />Recording Information <br />(b) <br />Date Recorded <br />(c) <br />Taxpayer Identification Number <br />(d) <br />Amount Shown on Lien <br />(e) <br />956694113 <br />201307411 <br />9913722463 -7 <br />09/10/2013 <br />XXX -XX -6144 <br />$25,767.07 <br />Form 669 -B <br />(September 2008) <br />1, 1 05X8 <br />Department of the Treasury — Internal Revenue Service <br />Certificate of Discharge of Property From Federal Tax Lien <br />(Section 6325(b)(2)(A) of the Internal Revenue Code) <br />JAMES H TRUELL & KARLA J ANDREASEN of 903 W DIVISION ST, City of GRAND ISLAND, County of Hall, State of <br />NEBRASKA, are indebted to the United States for unpaid internal revenue tax in the sum of Twenty Five Thousand Seven Hundred <br />Sixty Seven and 07/100 Dollars ($25,767.07) as evidenced by: <br />A lien attaching to all the property of the taxpayers was filed to secure the amount owed. The notice of lien was filed with the <br />Register of Deeds, for the County of Hall, in accordance with the applicable provisions of law. <br />The lien listed above is attached to certain property described as: <br />Lot Two (2), Zana Subdivision in the City of Grand Island, Hall County, Nebraska <br />NOTE: Always include the address of real property or a descriptive narrative of personal property in this section when using <br />"See Attachment" and a more detailed description is being attached. <br />The Internal Revenue Service acknowledges receipt of One Hundred Twenty Three Thousand Four Hundred Seventy Eight <br />and 81/100 dollars ($123,478.81, the Internal Revenue Service discharges the above described property from the lien. <br />However, the lien remains in effect for all other property, or rights to property, to which the lien is attached. <br />Title <br />ADVISORY GRP MGR <br />Signature <br />KATHLEEN M KELM <br />i v, yl <br />Date <br />September 2, 2014 <br />(Note: Certificate of officer authorized by law to take acknowledgements is not essential to the validity of Discharge of <br />Federal Tax Lien. Rev. Rul. 71 -466, 1971 -2, C.B. 409.) <br />Catalog No. 16751C <br />Form 669 -B (Rev. 9 -2008) <br />