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Form 668 (Z) <br />(Rev. 10 -2000) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED # <br />Lien Unit Phone; (800) 913 - 6050 <br />Name of Taxpayer <br />HUSKER HOSPITALITY L L C <br />RIE]DY ROBERT D GEN PTR <br />Residence 1932 ASPEN CIR STE D <br />GRAND ISLAND, NE 68803 -2474 <br />COURT RECORDING INFORMATION: <br />Liber Page U�`o Serial No. <br />( C <br />n/a n/a 910633725 -9_ j 201005455 <br />Kind of Tax <br />(a) <br />Place of Filing <br />the <br />Ap r, 21, 2017 3:10PM <br />1065 12/31/2009 <br />941 03/31/2010 <br />Signature <br />11874 Department of the Treasury - internal Revenue Service 201702577 <br />Certificate of Release of Federal Tax Lien <br />Tax Period <br />Ending Identifying Number <br />(b) Cc) <br />29th day of March , 2017 <br />Serial Number <br />681120610 <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 August 04 <br />2010 , is authorized to note the books to show the release of this lien for <br />these taxes and additions, <br />Date of <br />Assessment <br />(d) <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 - 1692 <br />Last Day for <br />Refiling <br />NE Sec of 5iefe John R Gm1a r UGC [far? <br />III <br />9817790733 - 0 POs: 1 <br />HUSKER HOSPITALITY L L C <br />Filed 04/21 /2017 11;05 AM <br />For Use by Recording Office <br />Nu. 3854 P. 4/5 <br />Unpaid Balance <br />of Assessment <br />(f) <br />X.X- XXX7019 06/07/2010 07/07/2020 890.00 <br />XX- XXX7019 07/05/2010 08/04/2020 5711.05 <br />Total $ 6601.05 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />Title <br />Operations Manager, <br />Centralized Lien Operation <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 -2000) <br />Part 1 - RECORDING OFFICE , n • . n,n onn.,c <br />