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Form 668 (Z) (Rev. 10 -2000) 4 8 05 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien Area: SMALL BUSINESS /SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 913 -6050 Serial Number 518682009 For Use by Recording Office I certify that the following -named taxpayer, under the requirements of section 6325 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on March 02 2009 , is authorized to note the books to show the release of this lien for these taxes and additions. Name of Taxpayer RONALD L BURES Residence 1108 S SYCAMORE GRAND ISLAND, NE 68801 -0303 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/a 9909588450 -7 200901537 Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending identifying Number Assessment Refiling of Assessment (a) (b) (cJ (d) (e) (0 1040 12/31/2001 XXX -XX -1069 06/03/2002 07/03/2012 2572.99 1040 12/31/2002 XXX -XX -1069 06/02/2003 07/02/2013 16946.22 1040 12/31/2003 XXX -XX -1069 05/24/2004 06/23/2014 6324.94 ********************************* t********* * * * * * * * * * * * * * * t * * * * * * * * * * * * * * ** Place of Filing Register of Deeds Hall POBOX 1692 Total $ 25844.15 Grand Island, NE 68802 -1692 201603063 This notice was prepared and signed at CHICAGO, IL , on this, 02nd May 2016 the day of Signature 6k "4 - Title Director, Specialty Collections (NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) Part 1 - RECORDING OFFICE CAT. NO 600261