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Form (Z) <br />z000 <br />(Ray. io -2000 i <br />11874 Department of the Treasury - Internal Revenue Service <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 />682055910 <br />For Use by Recording Office <br />• <br />NE Sec o St.te Jc►.n A Gale - UCC CRFTL <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 those taxes and <br />1 1 <br />il <br />I <br />additions has <br />internal revenue <br />2010 <br />been released. The <br />tax lien was filed <br />, is authorized to note <br />proper officer in the office where the notice of <br />an August 04 <br />9917787777 <br />DANNER <br />ANDREW <br />-7 <br />P,c, <br />1 <br />the books to show the release of this lien for <br />these taxes and <br />additions. <br />Filed: 02/27/2 017 02:17 PM <br />Name of Taxpayer <br />_ <br />ANDREW & DAWN DANNER <br />Residence 112 0 ORANGE RD <br />GRAND ISLAND, NE 68801' -8150 <br />COURT RECORDING INFORMATION: <br />Liber Page <br />UCC No. Serial <br />No. <br />n/a n/a <br />0 -3D 201005500 <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 />Refiling <br />of Assessment <br />(a) <br />( <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2004 <br />XXX -XX -0742 <br />02/09/2009 <br />03/11/2019 <br />7166.31 <br />1040 <br />12/31/2005 <br />XXX -XX -0742 <br />01/05/2009 <br />02/04./2019 <br />6833.09 <br />1040 <br />12/31/2006 <br />XXX -XX -0742 <br />01/12/2009 <br />02/11/2019 <br />4942.33 <br />1040 <br />12/31/2007 <br />XXX -XX -0742 <br />02/09/2009 <br />03/11/2019 <br />71.17 <br />1040 <br />12/31/2008 <br />XXX-XX-0742 <br />02/08/2010 <br />03/09/2020 <br />6201.32 <br />1040 <br />12/31/2009 <br />XXX -XX -0742 <br />05/31/2010 <br />06/30/2020 <br />3766.65 <br />******************************************* <br />* * <br />* * * * * * * * * * * ** <br />** * * * * * ** * * * * *** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 28980.87 <br />Grand Island, NE 68802-1692 <br />Feb. 27. 2017 3:18FM <br />This notice was prepared and signed at <br />the <br />09th day of February 2017. <br />Signature <br />6 <br />CHICAGO, IL <br />4 <br />, on this, <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. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 <br />Part 1- RECORDING OFFICE - CAT. NO 600261 <br />