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Sep. 1. 2016 3:28PM N=. 3202 <br />• <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />Area: <br />SMALL iBUSINESS /S ELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Name of Taxpayer <br />JERRY L & CAROLE L DENTON . <br />Residence 205 S .CEDAR ST <br />GRAND ISLAND, NE 68801 <br />Kind of Tax <br />(a) <br />1040 <br />* * * * * *** <br />Place of Filing <br />Signature <br />12 <br />14742.. <br />Department of the Treasury Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />For Use by Recording Office <br />Serial Number <br />354042607. <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 April 05 <br />2007: is authorized to note the °books to show the release of this lien for <br />these taxes and additions, <br />COURT RECORDING INFORMATION: <br />Liber 'Page UCC No Serial No <br />n/a n/a 07504250 - 200702802 <br />Date of <br />identifying Number Assessment <br />(c) (d) <br />/31/2004 XXX-XX-3010 06/05/2006 <br />Tax Period <br />Ending <br />( <br />Register: of Deeds <br />Hall:POBOX 1692 . .. <br />Grand Island, NE 68802 -1692 <br />the ` 17th day of August 2016 <br />Last. Day for.'' <br />Refiiiing . : <br />(a). .: <br />2016 <br />NE Se of State John R Gale = UC RCTL <br />9916779363 -8 Pgs: 1 <br />DENTON CAROL& L <br />Filed: 09141/2016 02.42 PM <br />07/05/2016 10140.22. <br />* * * * * * * * * ** *x * * * * * * * *. * * * * * * ** <br />Total $ ... <br />Unpaid Balance <br />of Assessment <br />(f) <br />10140.22 <br />CHICAGO! ::IL. <br />This notice-was .pi - .epared and signed at - on <br />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 Tex lien Rev. Rul, 71 -466, .1971. - 2 C.B. 409) rorm 668 (Z) (Rev. 10 - 20001 <br />Part r - RECORDING OFFICE. <br />Ar. NO 600261 <br />