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Form 668 (Z) <br />mev. tas000) <br />3460 Department of the Treasury - Internal Revenue Service 201501 <br />alt <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF II1PXJ0 ir,Cl AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />648918310 <br />For Lice by Recurring O <br />ra mac of Elsie Mahn R emir - UGC CeFTL <br />1 1 II 1 <br />I certify that the following -named taxpayer, under the requirements of section 9325 (a) <br />of the internal Revenue Code has satisfied the taxes listed below and all statutory <br />i <br />1 i `1 <br />II <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />1 <br />iI , <br />additions has been released. The proper officer in the office where than notice of <br />' ' j , <br />internal revenue tax lien was filed <br />on May 06 <br />99157,441556 Pee; i <br />2010 <br />. is authorized to note <br />the books to show the release of this lien for <br />ppg� <br />eile e2128T2ts Of .3e PM <br />these taxes and <br />additions. <br />J ame Taxpayer ar A <br />T C WELDING <br />Reeldanca 1116 W OKLAHOMA AVE <br />GRAND ISLAND, NE 68801 -6651 <br />COURT RECORDINfy INFORMATION: <br />• <br />Liber Page Serial Nu. <br />n/a n/a 9910626585 -2 202003087 <br />bond of Tax <br />T e <br />Identifying Number <br />Ass <br />Last g <br />o f Asi.w t <br />f g <br />!tH <br />(C) <br />(� <br />(0) <br />11) <br />941 <br />06/30/2009 <br />20- 3856452 <br />04/12/2010 <br />05/12/2020 <br />7966.67 <br />941 <br />09/30/2009. <br />20- 3856452 <br />04/05/2010 <br />05/05/2020 <br />9923.79 <br />941 <br />12/31/2009 <br />20- 3856452 <br />04/12/2010 <br />05/12/2020 <br />11859.64 <br />** ******* <br />***** ** ***** <br />*** ** ******* <br />r*****x*** **************e***** <br />*** ****t*** <br />Place of King <br />Register of Deeds <br />Hall POGO$ 1692 Total <br />$ 29750.10 <br />Grand Island, NE 68802 - 1692 <br />0 <br />This notices was prepared and signed at CHICAGO, IL , on this, <br />the <br />r <br />F 26 2015 2 :56PM NE Secretary of State UCC <br />Signature <br />11th day of February 2015 <br />No. 9359 P. 3/4 <br />Title Director, Specialty Collections <br />152 <br />(NOT Certificate of officer authorized by law to take acknowledgments Is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71.466, 1971 - 2 C.B. 4091 <br />Form Ede (Z) (Rev. . NO 10-20001 <br />Pitt I - ItLCORDDIG OFFICE 00261 <br />CAT. NO 600261 <br />