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Form 668 (Z) <br />(Rev. 1 D -2000) <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien 201607 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (Boo) 913 -6050 <br />Serial Number <br />179551615 <br />For Use by Recording Office <br />9918 782732 <br />PANKorev <br />Filed, <br />NE src ni 24e4a Jahn a Gala <br />11 <br />-8 <br />JESSICq <br />11/15/2016 10 :44 <br />- UCC <br />11 <br />Pas: <br />AN <br />WTI- <br />1 <br />1 <br />1 certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />Internal revenue <br />2015 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien was filed <br />, is authorized to note <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 October 19 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />PAUL & JESSICA PANKONIN <br />Residence 1016 <br />GRAND <br />Liber Page <br />n/a n/a <br />PLEASANT VIEW DR <br />ISLAND, NE 68801 -8022 <br />COURT RECORDING <br />UCC _No. Serial <br />INFORMATION: <br />No. <br />0915762554 -2 201507134 <br />Kind of Tax <br />la) <br />Tax Period <br />Ending <br />(b) <br />identifying Number <br />( <br />Date of <br />Assessment <br />(d) <br />East Day for <br />Refl!ing <br />le) <br />Unpaid Balance <br />of Assessment <br />ffl <br />1040 <br />1040 <br />1040 <br />1040 <br />*********************************x********* <br />12/31/2010 <br />12/31/2011 <br />12/31/2012 <br />12/31/2013 <br />• <br />XXX-XX -4006 <br />XXX -XX -4006 <br />XXX -XX -4006 <br />XXX -XX --4006 <br />05/30/2011 <br />05/29/2012 <br />06/03/2013 <br />06/02/2014 <br />* ** <br />06/29/2021 <br />06/27/2022 <br />07/03/2023 <br />07/02/2024 <br />**** * * ** * ** <br />4763.15 <br />15249.70 <br />6171.46 <br />2249.42 <br />+ * ****** * *** * * *** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 - 1692 <br />$ 28433.73 <br />Nov, 15. 2016 3:22PM NE Secretary of State — UCC <br />o. 8747 F. 2/2 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />Signature <br />26th day of October 2016 <br />6 . 1 tA - L75.- 0 -PI-APAA' <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 lien Rev. Rel. 71 -466, 1971 - 2 C.B. 409) Form 668 (1) !Rev, 10-20001 <br />Pant- RECORDING OFFICE CAT. NO 600261 <br />659 <br />