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Form 668 (Z) <br />(Rev. 10 -2000) <br />11290 Department of the Treasury - Internal Revenue Service 2015046'j <br />Certificate of Release of Federal Tax Lien <br />Area: T <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Serial Number <br />For Use by Recording Office <br />CRFTL <br />611. <br />Lien Unit Phone: (800) 913 -6050 <br />780679011 <br />NE 5 ,p os stets sue'^ A <br />ll, II <br />"1 H'I 10 Ilk <br />II �I�j �I�� � ' lill l�l� 111 I li � I � 1 I h <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />Illl <br />tI I i II , hi' l II'I I; ■ <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />, <br />� 1 t �I� I1 ill ill I l� II�� i t �I <br />dui �II � I�, <br />additions has <br />internal revenue <br />2011 <br />been released. The <br />tax lien was filed <br />, is authorized to note <br />P r er P officer in the office where the notice of <br />on May 20 <br />�� Ili ill �� II I <br />I� I �' I I I �� <br />�� � ,. II pgzt: <br />so13757744 i_ scoiMPANY, A CORPS a ND <br />®7/»912®15 11:16 AM <br />the books to show the release of this lien for <br />these taxes and <br />additions. <br />5 1 s a <br />Name of Taxpayer <br />ISLAND SUPPLY COMPANY, a Corporation <br />1221 W OKLAHOMA AVE <br />. <br />Residence 1221 W OKLAHOMA AVE <br />GRAND ISLAND, NE 68801 - 6652 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 911662162 -2 201103837 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refilling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />le) <br />(0 <br />1120 <br />12/31/2009 <br />XX- XXX0945 <br />01/31/2011 <br />03/02/2021 <br />2670.00 <br />940 <br />12/31/2009 <br />XX- XXX0945 <br />11/08/2010 <br />12/08/2020 <br />76.44 <br />941 <br />03/31/2009 <br />XX- XXX0945 <br />11/08/2010 <br />12/08/2020 <br />9372.58 <br />941 <br />06/30/2009 <br />XX- XXX0945 <br />11/08/2010 <br />12/08/2020 <br />13681.37 <br />941 <br />09/30/2009 <br />XX- XXX0945 <br />11/08/2010 <br />12/08/2020 <br />9403.65 <br />941 <br />12/31/2009 <br />XX- XXX0945 <br />11/08/2010 <br />12/08/2020 <br />8125.37 <br />941 <br />03/31/2010 <br />XX- XXX0945 <br />11/08/2010 <br />12/08/2020 <br />7184.75 <br />941 <br />06/30/2010 <br />XX-XXX0945 <br />11/08/2010 <br />12/08/2020 <br />6543.41 <br />941 <br />12/31/2010 <br />XX- XXX0945 <br />03/21/2011 <br />04/20/2021 <br />2107.45 <br />******************************************** <br />* <br />* * * * * * * * **r * * <br />*** * ** *** * * ** * * ** <br />Place of Filing <br />. Register of Deeds <br />Hall POBOX 1692 Total <br />$ 59165.02 <br />Grand Island, NE 68802 -1692 <br />o <br />Jul. 9. 2015 2:52FM NE Secretary of State - UCC <br />This notice was prepared and signed at <br />the <br />Signature <br />17th day of June , 2015 <br />No. 1718 F. 5/6 <br />CHICAGO, IL , on this, <br />Title Director, Specialty Collections <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. Rul. 71.466, 1971 - 2 C,B. 409) Form 668 (Z) (Rev. 10 <br />a <br />