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Area: <br />SMALL )3t]SINE$5 /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 9136050 <br />Serial Number <br />A <br />249687217 <br />For Use .y Recording Office <br />NE <br />9917791462 <br />PEARD <br />Filed: <br />5.c <br />v} <br />DAWN <br />05/04/2017 <br />male <br />1ahi1 <br />-6 <br />R <br />Gila <br />11:26 <br />EEC <br />AM <br />a <br />Peg: <br />tTI <br />1 <br />I certify that the <br />of the. internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2017 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien was filet( <br />, is authorized to note <br />additions. <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 8321 for those taxes and <br />proper officer in the office where the notice of <br />on March 10 <br />the books to allow the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />DAWN PRARD <br />Residence 3016 PADDOCK RD APT 111E <br />OMAHA, NE 68124 -2942 <br />COURT RECORDING INFORMATION <br />Liber Page DCC No. Serial No. <br />n/a n/a 9917788394 -6 201701551 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(6) <br />identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />1040 <br />1040 <br />******* ** <br />• <br />12/31/2012 <br />12/31/2014 <br />12/31/2015 <br />***** ***2 *k <br />xXX -XX ^2350 <br />XXX -XX -2350 <br />XXX -XX -2350 <br />r **** ***k *2;t* <br />05/02/2016 <br />11/23/2015 <br />11/21/2016 <br />* *21 ******* <br />06/01/2026 <br />12/23/2025 <br />12/21/2026 <br />****** * **** <br />10973,70 <br />198.29 <br />15418,44 <br />* ** * ***f*** ***** <br />• <br />Place of Filing <br />Register of Deeds <br />Rail POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 26590.43 <br />UY� <br />the <br />1 1 ay___ 4__ 2017 2: 19PM <br />Form 668 (Z) <br />016v, 10.20001 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />Signature <br />2284 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />19th day of April , 2017. <br />Nc. 3909 <br />Title <br />Operations Manager, Centralized <br />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) Farm 668 (Z) (Rev. 10 -2000) <br />Part i - RECORDING OFFICE .-.T ., <br />20170291 <br />