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Form 668 (Z) <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 0321 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 November 10 <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 />RUSSELL A EHLERS <br />Residence 214 S BROADWELI, AVE <br />GRAND ISLAND, NE 68803 -5444 <br />Liber <br />n/a <br />ay. 25. 2017 4:04FM . . NE Secretary of State - UCC <br />Kind of Tax <br />1040 12/31/2004 <br />1040 12/31/2005 <br />1040 12/31/2006 <br />Place of Filing <br />This notice was prepared and signed at <br />the <br />Signature <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 RECOR1ThIG INFORMATION; <br />Page UCC Serial No. <br />n/a 9909611738 -2j 200908949 <br />Tax Period <br />Ending <br />fb) <br />Identifying Number <br />(c) <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 - 1692 <br />03rd day of May , 2017 <br />Serial Number <br />595191509 <br />Date of <br />Assessment <br />Id) <br />XXX -XX -5856 03/09/2009 <br />XXX -XX -5856 03/09/2009 <br />XXX -XX -5856 03/09/2009 <br />*************v*********** <br />CHICAGO, IL <br />Last Day for <br />Refl ng <br />(e) <br />04/08/2019 <br />04/08/2019 <br />04/08/2019 <br />Total $ <br />n � <br />i6� <br />2 <br />Nf Lac of 5bsb¢ Jahn N <br />n <br />9917792547 -7 <br />EHLERS RUSSELL R <br />Filed: 05/25/2617 11 ;07 AM <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />fia r - ut[ CPWTL <br />P9e <br />Unpaid Balance <br />of Assessment <br />(f) <br />68479.68 <br />46157.74 <br />45922.03 <br />160559.45 <br />, on this, <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. Rol. 71 -466, 1971 - 2 C.B. 409) _ Form 660 (Z) (Rev. 10 - 20001 <br />