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- - * -_ <br />R 6 (Z) <br />1 <br />(Rev. 1 0 -2000) <br />14742 Department of the Treasury - Internal Revenue Service 2016070: <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />213269316 <br />For Use by Recording Office <br />N E sae er %Ae1e <br />1111 <br />8916781575-7 <br />GIGGLES <br />]oh. A Gale - UGC WTI. <br />- 111 <br />Age: <br />/ 2 016 CORPORATION <br />03:1O PM <br />1 <br />certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2016 <br />following -named taxpayer, <br />Revenue Cade has <br />the lien provided <br />been released. The <br />tax lien was filed <br />, is authorized to nate <br />additions_ <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on June 09 <br />_ <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer . <br />GIGGLES INC, a Corporation <br />Residence 14 09 <br />GRAND <br />Liber Page <br />n/a n/a <br />N WEBB RD <br />ISLAND, NE 68803 -2313 <br />COURT RECORDING <br />UCC No. Serial <br />INFORMATION: <br />No. <br />(916775196 -8 . 201603575 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiring <br />(e1 <br />Unpaid Balance <br />of Assessment <br />(f) <br />- 941 <br />941 <br />*****************************************,* <br />09/30/2015 <br />12/31/2015 <br />XX- XXX8886 <br />XX- XXX8886 <br />12/07/2015 <br />04/04/2016 <br />* * <br />01/06/2026 <br />05/04/2026 <br />* * * * * * * * * ** ** <br />1164,28 <br />7345.77 <br />* * * * *s * ** * * * **** <br />Place of Filing <br />Register of Deeds <br />Hall POEOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 8510.05 <br />Oct, 21. 2016 3:59PM NE Secretary of State — UCC <br />V <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />the <br />28th day of September, 2016 <br />Signature <br />NA-t75- <br />No. 8 491 P 5/5 <br />Title 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 Tax lion Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />9 <br />