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- - * -- <br />Form 668 (Z) <br />(Rev-10-20001 <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien 2 01703 9 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED A RA #4 <br />Lien Unit Phone: (800) 913 - 6050 <br />Serial Number <br />226654616 <br />For Use by Recording Office <br />NE E.c <br />of 54a4e .John R 6fiir - UCC CRFT <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 Ilen 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 <br />on September 13 <br />2016 <br />, is authorized to note <br />the books to show the release of this lien for <br />9917793525 -2 Pub, 1 <br />GIGGLES INC, A CORPORATION <br />these taxes and <br />additions. <br />Filed, 00/14/2017 11:00 AM <br />Name of Taxpayer <br />GIGGLES INC, a Corporation <br />Residence 1409 N WEBB RD <br />GRAND ISLAND, NE 68803 -2313 <br />COURT RECORDING INFORMATION: <br />Liber Page <br />C_Nr) Serial <br />No. <br />n/a n/a <br />9916779790 -3) 201606008 <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 />Refilling <br />of Assessment <br />(a) <br />(b) <br />(e) <br />(d) <br />(e) <br />(f) <br />941 <br />03/31/2016 <br />XX- XXX8886 <br />07/04/2016 <br />08/03/2026 <br />11540.31 <br />************ <br />* * * ** * *** <br />* *** * * * * * ** * .v** <br />* * ** * *** * <br />*** * * * * * * * * <br />* * * * * * * * * * * * * ** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 11540.31 <br />Grand Island, NE 68802 -1692 <br />Jun, 14. 2517 3:01FM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />Signature <br />24th day of May <br />J <br />2017 <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />No. 1053 F. 4;!10 <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. 409i' Form 66B (Z) (Rev. 10 -20001 <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />08 <br />