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For m 666 (Z) � <br />!Rev. 10 -2000 1 <br />10 0 <br />3595 Department of the Treasury - Internal Revenue Service 2 0 1 5 U 4 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />346804807 <br />For Use by Recording Office <br />NE <br />9915758246 <br />IT <br />Filed: <br />Sec <br />of <br />: <br />S <br />, <br />0OHN <br />07122 <br />ale John A Oal. <br />MI <br />- 3 <br />01;34 <br />- UCC <br />Phi <br />CRG'TL <br />I <br />P93: <br />I <br />I certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2007 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax hen was filed <br />, is authorized to note <br />additions. <br />under the requirements of section 6325 (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 March 06 <br />the books to show the release of this lien for <br />those taxes and <br />Name of Taxpayer <br />JOHN C MEYERS <br />Residence 11070 <br />DONIPHAN, <br />Liber Page <br />n/a n/a <br />S BUFFALO RD <br />NE 68832 -9721 <br />COURT RECORDING <br />UCC No. Serial <br />INFORMATION: <br />No. <br />Q90749 200701702 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refilling <br />(e0 <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />** * * * * * * <br />12/31/2002 <br />** *** * ** ** <br />XXX -XX -3172 <br />************ <br />05/22/2006 <br />w*** ***eirek** * <br />06/21/2016 <br />*7k/C** * ** * ** ** <br />55423.74 <br />* * * * * * * * * *k *** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 55423.74 <br />Jul.22. 2015 2:53FVI NE retary of State — UCC <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />the <br />Signature <br />09th day of July 2015 <br />No. 1909 F. 2./3 <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 660 (Z) (Rev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />t4 0 <br />