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Form 668 (Z) <br />MeV_ 10 <br />12567 Department of the Treasury - Internal Revenue Service 2 015 0 7 6 ( <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESSiSELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 - 6050 <br />Serial Number <br />128653714 <br />For Use by Recording Office <br />LEETCM <br />Flied; <br />NE 5.c <br />9915763449 <br />.1 <br />= <br />BOBBY <br />11l06/2015 <br />54.4. <br />,. <br />John <br />-0 <br />o <br />A 0.1. - UCC <br />Pas <br />08:66 R19 <br />CRCYL <br />; <br />1 <br />{certify that the <br />of the Internal <br />additions_ Therefore, <br />additions has <br />internal revenue <br />2 <br />following -named teYp <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien was filed <br />is a uthorized to note <br />additions. <br />®yet, 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 December 05 <br />the books to show t r elease o this lien for <br />these taxes and <br />Name of Taxpayer <br />BOBBY D LEETCH <br />Residence550 3RD RD <br />GRAND XSIiAND, NE 68801 - 0313 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9914745628 -6 201407663 <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 DAI for <br />Re mg <br />lei <br />Unpaid Balance <br />of Assessment <br />to <br />1040 <br />* ********t <br />12/31/2010 <br />**** ** **s* <br />XXX -XX -8011 <br />* **-k**** *** *fee <br />02/24/2014 <br />** ***x4* **** <br />03/25/2024 <br />* ** ** k * *** *4* <br />34597.58 <br />kilt * ***** ******* <br />Place of Filing <br />Register of Deeds <br />Hail POBOX 1692 Total <br />Grand Island, NE 68B02 -1692 <br />$ 34597.56 <br />NL N , v., 5 .� 2(15 3:19FM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO IL , on this, <br />the <br />Signature <br />21st day of October , 2015 <br />Nc. 3479 F. 2/"2 <br />Title Director, Specialty Collections <br />(NOTE; Certificate of officer authorized by law to take aeknuwledgmenre is not eesentiai to the validity of Certificate of Release or <br />Federal Tax lion Rev. Rul. 71 - 469, 1971 • 2 C.B. 409) <br />neCADhtur. ^crier Form 668 (Z) (Rev, 10.2000) <br />. . .. _ <br />