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Form 668 (Z) <br />)Rev. 10-2000) <br />11883 Department of the Treasury - Internal Revenue Service 2014071 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL EUSTNESS /SELF EMPLOYED AREA #4 <br />lien Unit Phone: (B00) 913 -6050 <br />Serial Number <br />829922711 <br />For Use by Recording Office <br />'C ■s "4" Jet+N . 6,0. <br />P9s' i <br />9914741 -3 <br />Blurs R OJQ i4 02;i4 PM <br />Piled <br />I certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2011 <br />following -named taxpayer, <br />Revenue Code has <br />the Ken provided <br />been released. The <br />tax lien was filed <br />, is authorized to note <br />additions- <br />under the requirements of section 6326 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on November 23 <br />the books to show the release of this Ken for <br />these taxes and <br />Name of Taxpayer <br />RONALD L BURRS <br />Residence 1108 <br />GRAND <br />Liber Page <br />n/a r n./a' <br />S SYCAMORE ST <br />ISLAND, NE 68801 -7961 <br />COURT RECORDING <br />INFORMATION: <br />No. <br />U •.. erial <br />9911677698 --4 2 <br />rind of Tax <br />lal <br />(b) <br />Identl y l Number <br />(c) <br />ant <br />(dl <br />R fling <br />(el <br />of � Balance <br />f_e <br />1040 <br />************** <br />12/31/2004 <br />* ** * *** <br />/MX-MC-1069 <br />** * * *** **** *'v* <br />08/24/2009 <br />** ** ** *** *wire* <br />09/23/2019 <br />** * ** *k *t <br />• <br />11158.99 <br />* * * * **** ** * * ** ** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />• <br />$ 11158.99 <br />This notice was prepared and signed at G;HICAGO IL , on this, <br />Nov. <br />the <br />Signature <br />2014 3:44PM NE Secretary of State — UCC <br />23rd day of October , 2014 <br />No. 7494 P. 7/8 <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 Cerekete of Release of <br />Federal Tax Ilen Rev. Rul. 71-466. 1971 - 2 C.B. 409) Form 6611 (7) (Rev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />30 <br />