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- - * ` - <br />Form 668 (Z) <br />(Rev. 1 0,a000) <br />3 514 Department of the Treasury - Internal Revenue Service 201503 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />EMU BfJBINESS /SETS RFOLOWD AREA # <br />Lien Unit Phone: (800) 913 - 6050 <br />Serial Number <br />94795561.3 <br />For Use by Recording Office <br />ut• �.a a w ,. - ace oven <br />,� III <br />99257357769 - 2 P*_ t <br />FlIni Oer�0912111 12027 PM <br />• , <br />I certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />• 2013 <br />following -named taxpayer, <br />Revenue Code has <br />the . lien provided <br />been released. The <br />tax lien was filed <br />; ie authorized to note <br />additions. <br />under the requirements of section 6325 (al <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 July 23 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />KEE'VIN L Sr ANITA J KREIFELS <br />Residence PO BOX 120 <br />GRAND ISLAND, NE 68802 -0120 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n / a n/a 9913719427 - 66) 201305917 <br />!Lied of Tax <br />[a) <br />Tax Period <br />Ending <br />(d) <br />Identifying Number <br />fo) <br />Date of <br />Assessment <br />(d <br />Last Dad► for <br />t B <br />(e) . <br />Unpaid Balance <br />of Assessmom <br />(i) <br />1040 <br />1040 <br />12/31/2010 <br />12/31/2011 <br />XXX -XX -3977 <br />XXX -XX -3977 <br />05/20 <br />06/10/2013 <br />06/19/2023 <br />07/10/2023 <br />26399.79 <br />14346.63 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />8 40746.42 <br />Jtun, 3, 2015 3:12PM NE Secretary of State — UCC <br />No 1218 P. 4/ <br />This notice wee prepared and signed at CHICAGO, IL , on this, <br />the 13 th day of May , 2015 <br />Signature <br />Title Director, Specialty Collections <br />860 <br />(NOTE: 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. Rut. 71.466. 1971 - 2 C.B. 409) <br />Form 666 (Z) IRev. 10.2000) <br />Part 1 - 116COIDING OFFICE car. Na 600261 11.7 <br />