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Mar. 17. 2016 3:43FM NE Secretary of State — UCC o. 5612 P. 3/3 Form 10916 -A (February 2012) Name of Taxpayer MICHAEL L ANDERSON Residence Liber Page n/a of a Kind of Tax (a/ 1040 1040 1040 1040 1040 1040 1040 Place of Filing Signature Catalog Number 24586T 201601588 Withdrawal of Filed Notice of Federal Tax Lien after Release 5216 Department of the Treasury - Internal Revenue Service Area: SMALL. BUSINESS /SELF EMPLOYED AREA #5 Lien Unit Phone: (8 00) 913 -6050 2124 LAWRENCE LANE APT 303 GRAND ISLAND, NE 68803 COURT RECORDING INFORMATION: UCC No Serial No. 09590438 -5) 200901966 Tax Period Ending (b) 12/31/2001 12/ 12/ 31/200 3 12 /31/ 200 4 12 /31 /2 005 12 /31/ 20 06 12/31/2007 * * * * * * * * * * *1 the 03rd day of March G A- ao,..r Identifying Number (c) XXX -XX -2202 XXX -XX -2202 XXX-XX -2202 XXX -XX -2202 XXX -XX -2202 XXX -XX -2202 XXX -XX -2202 * * * * * * * * * * * ** 2016 Part 1 - Recording Office Serial Number 523631109 The lien for the following -named taxpayer was released pursuant to Internal Revenue Code (IRC) section 6325(a). 1 certify that the taxpayer has met one or more of the elements of 1RC section 6323(J). The Internal Revenue Service therefore withdraws the Notice of Federal Tax Lien For these taxes and additions. The proper official in the office where the Notice of Federal Tax: Lien was filed on March 18, 2009 , is authorized to update the records to show the withdrawal of the notice of lien for these taxes and additions. Date of Assessment (d) 06/06/2005 10/13/2008 07/28/2008 10/20/2008 10/06/2008 10/06/2008 10/06/2008 Register of Deeds Hall POBOX 1692 Grand Island, NE 68802 -1692 www.frs.gov For Optional Use by NE Sec Last Day for Refilling (e) 07/06/2015 11/12/2018 08/27/2018 11/19/2018 11/05/2018 11/05/2018 11/05/2018 of t &.4 9916770327 -3 ANDERSON MICHAEL L Flied: 03!17/2016 10:30 AM ************k***************** Total $ Jahn A G-le Recording - UCC WiT Pgs: 1 Unpaid Balance of Assessment lfJ Office 6006.46 15603.01 9746.69 21927.43 6145.68 20532.90 9540.92 89503.09 • This certificate was prepared and signed at CHICAGO, 11 ' , on this, Title Director, Specialty Collections Form 10916 -A 12 -2012)