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Farm 668 (Z) <br />(Rev. 10.2000) <br />11883 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax lion <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (600) 913 -6050 <br />Serial Number <br />549596709 <br />For Use by Recordi ii Office <br />NE !pr et Nab John N I I. - NCC WTI. <br />I certify that the following -named taxpayer, under the requirements of section 6325 la) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the ion provided by Code section 6321 for these taxes and <br />111 IIIII <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed <br />on June 02 <br />2009 <br />is authorized to rote <br />9914744660-3 F'gs, 1 <br />BEER TERRY n <br />the books to show the release of this Bran for <br />,, <br />these taxes and <br />additions. • <br />Filed:: 11f1212a14 e1457 PM <br />Name of Taxpayer <br />TERRY M EEEDER <br />Residence 1605 N LAFAYETTE AVE <br />GRAND ISLAND, N8 68803 -2649 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/a 9909598139 -9 200904285 <br />Tax <br />Pate of <br />last <br />of< <br />Unpaid <br />Kind of Tax <br />Ending <br />identifying Number <br />As o t <br />Assessment <br />a <br />04 <br />(c) <br />Id) <br />• <br />(1 <br />1040 <br />12 312000 <br />XXX -g7C -9875 <br />01/08 2007 <br />02/07/2017 <br />604.46 <br />1040 <br />12/31/2002 <br />XXX -XX -9875 <br />02/05/2007 <br />03/07/2017 <br />1659.73 <br />1040 <br />12/31/2003 <br />XXX -XX -98.75 <br />08/21/2006 <br />09/20/2016 <br />2625.94 <br />************************************* <br />x****** *'****a** <br />** * * *** <br />* ** **** ****** ** <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />9 4890.13 <br />Grand Island, N8 68802 -1692 <br />• <br />Nov. 12, 2014 3:06PM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />the <br />Signature <br />29th d of October 2014 <br />No. 7629 P. 3/3 <br />CHICAGO, IL <br />, on this, <br />'thee <br />Operations Manager, <br />Centralized Case Processing -Lien Unit <br />(NOM Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax Ilen Rev_ Rul. 71 -466, 1971 - 2 C.B. 409) Form 6i9 (Z) (Rev. 10-2000) <br />Part f - RECORDING OFFICE CAT. NO 800261 <br />1b3 <br />