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o <br />-Sep. 22. 2015- 3:07PM NE S :retary of State — UCC • <br />Form 668 (Z) <br />!Rev. 10 -2000) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 - 6050 <br />I certify that the following - named taxpayer, under the requirements of section 6325 (a) <br />of the Internal fievenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on August 10 <br />2010 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />JASON A BECKSTROM <br />Residence 2120 WILLIAM ST <br />GRAND ISLAND, NE 68801 -7427 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No Serial No. <br />n/a n/a C010634232-0 0634232 -0 201005647 <br />Kind of Tax <br />(al <br />1040 <br />12/31/2008 <br />* * * * ** * * * * * * * * * * * * ** <br />Place of Filing <br />This notice was prepared and signed at <br />the <br />Signature <br />5216 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />For Use by Recording Office <br />Tax Period <br />Ending <br />(b) <br />Serial Number <br />683518310 <br />Date of . Last Day for Unpaid Balance <br />Identifying Number Assessment Reining of Assessment <br />(c) (d) (e) (f) <br />XXX -XX -6533 11/23/2009 12/23/2019 8771.52 <br />********* * * * * * * * * * * * * * * ****** * * *** ** ** ** *fir *** * ** * * *** <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />03rd deyof September, 2015 <br />CHICAGO, IL <br />.N,,. 271 <br />2015 <br />I E Mc ai •ISM. John A a.Ir - OCC eNFTL <br />1111111 <br />9915761157 -9 P9s: 1 <br />SECKSTROM JASON P <br />Filed= 09122,2015 11:28 RM <br />Total $ . 8171.52 <br />, 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 />-�__- , r.... r.._. o_.. G..1 71 _ARR 1071 - 7r R. 4091 r cce /w% in.... n_-3AMI <br />