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Feb, 27. 2017 3:18PM <br />Form 668(7). <br />(Rev, 10 -2000) <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 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 Tien was filed on May 15 <br />2009 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />COFFEE N CREAM INC, a Corporation <br />Residence1247 N BURLINGTON AVE <br />HASTINGS, NE 68901 -3011 <br />Liber <br />n/a <br />Kind of Tax <br />la) <br />941 <br />* * * * * * ** <br />Place of Filing <br />the <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />For Use by Recording Office <br />COURT RECORDING INFORMATION: <br />Page UCC No. Serial No <br />n/a (9909596706 -0 200903781 <br />Tax Period <br />Ending <br />Identifying Number <br />(b) (c) <br />12/31/2008 XX- XXX7456 04/06/2009 05/06/2019 1053,81 <br />This notice was prepared and signed at <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />08th day of February , 2017, <br />Signature <br />Serial Number <br />543205809 <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiring <br />(e) <br />N 7F012 <br />NE S.G of E4a4= Jen Gal. - UCC CRFTL <br />11111 1:1 <br />9917737775 -3 Age: 1 <br />COFFEE N CREAM INC R CORPORA <br />Filed: 02/27217 02:17 PM <br />Unpaid Balance <br />of Assessment <br />(f) <br />Total $ 1053.81 <br />CHICAGO, IL , on this, <br />Title Director, Specialty Collections <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not eseential 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) <br />Part t - RECORDING OFFICE CAT Nn RcOOsl <br />