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'May. 12. 2017 2:54FM - NE Se retary of Stat — UCC <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 913 -6050 <br />Name of Taxpayer <br />MARIAN K BROWN <br />Residence 603 W STOLLEY PARK RD <br />GRAND ISLAND, NE 68801 -7464 <br />Kind of Tax <br />(a) <br />1040 12/31/2010 XXX -XX -7485 <br />Place of Filing <br />the <br />Signature <br />26th .day of April , 2017 <br />3351 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Serial Number <br />822602011 <br />I certify that the following -named taxpayer, under the requirements of section 8325 (a) <br />of the Internal Revenue Gode has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 f or 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 November 01 <br />2011 , is authorized to note the books to show the release of this lien for <br />these taxes arid additions. <br />COURT RECORDING INFORMATION: <br />Leber Page UCC-N - Serial No. <br />ra /a . n/a 9111675E. 9=4J 0201108231 <br />Date of <br />Assessment <br />(d) <br />05/30/2011 <br />* * * * * * * * * * * * <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />Last Day for <br />Refiling <br />(e) <br />NE Sec of i1oto <br />Po. 0721 F. 2/4 <br />9917791884 -6 Pas: <br />BROWN MARIAN K <br />Filed: 0511212e11 09:47 AM <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />201703140 <br />For Use by Recording Office <br />John A Gale - UCC CRFTL <br />Unpaid Balance <br />or Assessment <br />(0 • <br />06/29/2021 14331.00 <br />************•'r**** * * * * * * * * * * * * <br />Total $ 14331.00 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />L <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 CAT. NO 600261 <br />