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Form 668 (Z) <br />(Rev. 10 2o0b) <br />14 742 Department of the Treasury - internal Revenue Service . . <br />Certificate of Release of Federal Tax. Lien 2016050: <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />694559010 <br />For Use by Recording Office <br />p E 5n[ of its . ].6n P bate - <br />MC <br />CHFTL <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 />i <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 <br />on September 09 <br />9916777942 <br />-4 <br />Pas; 1 <br />2010 <br />is authorized to note <br />the books to show the release this lien for <br />JUDOS JAY D <br />, of <br />Filed! 08/03/2 016 09:59 AM <br />these taxes and <br />additions. <br />Name of Taxpayer <br />JAY B & KRISTINE L JUDDS <br />" <br />Residence 2735 BRENTWOOD BLVD <br />GRAND ISLAND, NE 68801 -7272 <br />• <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a ri /a 9910636935 -7 201006498 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reflling <br />of Assessment <br />(a) <br />( <br />(c) <br />(d) <br />(e) . <br />(f) <br />1040 <br />12/31/2006 <br />XXX-XX-6893 <br />03/29/2010 <br />04/28/2020 <br />18721.52 <br />1040 <br />12/31/2007 <br />XXX -XX -6893 <br />03/01/2010 <br />03/31/2020 <br />11337.07 • <br />1040 <br />12/31/2008 <br />XXX -XX -6893 <br />03/01/2010 <br />03/31/2020 <br />11521.85 <br />1040 <br />12/31/2009 <br />XXX -XX -6893 <br />05/31/2010 <br />06/30/2020 <br />12704.95 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 54285.39 <br />Grand Island, NE 68802 - 1692 <br />the <br />Aug. 3. 2016 3:38PM NE Secretary of State — UCC <br />Signature <br />20th day of July <br />2016 <br />Na, 7564 P. 2'2 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />Title Director, Specialty Collections <br />4 . <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, 1971 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) j <br />Part f - RECORDING OFFICE CAT. NO 600261 I ` <br />