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Area: <br />SMALL BUSINESS /SELF EMPLOYED ARC #4 <br />Lien Unit Phone: (600) 913 - 6050 <br />Serial Number <br />399713326 <br />For Use by Recording Office <br />Ni <br />Filed: <br />- <br />=w. of 14m4m 14m4 <br />111 <br />991em87 63s <br />BROOK RRMONR <br />0112112016 <br />. <br />. <br />-1 <br />Jahn <br />R <br />A Gals <br />09:45 <br />- UCC CRCTL <br />111 <br />PGs• 1 <br />RBI <br />certify that the <br />of the Internal <br />additions. Therefore, <br />I additions has <br />internal revenue <br />1997 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien 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 Aril 10 <br />the books to show the release of this lien for <br />- <br />these taxes and <br />Name of Taxpayer <br />RANDY L. & RAMONA R. BROCK <br />Residence 1007 WEST 7TH STREET <br />GRAND ISLAND, NE 68801 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a n/a 97 102611 <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 />Refiling <br />(0) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />*********************************w*********************** <br />12/31/1986 <br />XXX -XX -7127 <br />05/25/1987 <br />N/A <br />2266.92 <br />**************** <br />• <br />Place of Filing • <br />Register of Deeds <br />Hall POBOX 1692 • Total <br />Grand Island, NE 68802 -1692 <br />$ 2266.92 <br />c3 <br />the <br />Jan, 21. 2016 3:23FM NE Secretary of State — UCC <br />Form 668 - (Z) <br />(R... 10-2000) <br />This notice was prepared and signed at <br />Signature <br />5216 Department of the Treasury - Internal Revenue Service <br />10th day of January , 2016 <br />tkt-u Oir,—asuur" <br />No.4704 F. 3/7 <br />20160039, <br />Certificate of Release of Federal Tax Lien <br />Omaha, NE <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 />Federal Tax lien Rev. Rul. 71 -466, 1671 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />