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Jul.22, 2016 3:32RM NE Secretary of State — UCC <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (600) 913 -6050 <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue 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 • March 24 <br />2011 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />MICHAEL J & LIBBIE L PUNCOCHAR <br />Residence2231 W 11TH ST <br />GRAND ISLAND, NE 68803 -3621 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9911654749 -6 201102320 <br />Kind of Tax <br />(a) <br />1040 <br />** * * * * ** <br />Place of Filing <br />5216 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax . Lien <br />Tax Period <br />Ending <br />( <br />12/3 <br />* * * * * * * * * * ** <br />This notice was prepared and signed at <br />Identifying Number <br />(c) <br />XXX -XX -9998 <br />* ** * * * * * ** * * *= <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />the 06th day of July , 2016 <br />Signature <br />Serial Number <br />765377711 <br />Date of <br />Assessment <br />(d) <br />CHICAGO, IL • <br />Last Day for <br />Refil'mg <br />(e) <br />20 / 1 40492 . 2 <br />For Use by Recording Office <br />NE Sac ar Sk11ale - UCC GRG7L <br />9915777 -9 Pas. 1 <br />FUNGOGRAR 01101E L <br />Filed: 07/22(2016 10:01 F1 <br />Unpaid Balance <br />of Assessment <br />(0 <br />11/01/2010 12/01/2020 23587.32 <br />*********** * * * * * *• * * * * **- : * * * * * * * * ** * * ** ** <br />Total $ 23587.32 <br />on this, <br />Title Director, Specialty Collections <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is nor essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 - 466, 1971 - 2 C.8. 409) Form 668 (Z) (Rev. 10 -2000) �i C <br />Part 1 - RECORDING OI'FICE CAT. NO 600261 1"�J <br />