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Form 668 (z) <br />(Rev. 10 -2000) <br />11874 Department of the Treasury - Internal Revenue Service 2 0 0 3 9 <br />Certificate of Release of Federal Tax Lien <br />Area <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (Boo) 913 - 6050 <br />Serial Number <br />237292316 <br />For Use by Recording Office <br />N G f000 <br />111 ' <br />9917793526 <br />GIGGLES <br />Filed; <br />of <br />06/14/2017 <br />SktAs John n 6.,a - ucc egFTL <br />11111 <br />Pgs: <br />INC, A CORPORATION <br />11:08 AM <br />I certify that the <br />of the internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2016 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien was filed <br />, is authorized to note <br />additions. <br />under the requirements of section 8325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on November 21 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />GIGGLES. INC, a Corporation <br />Residence 1409 N WEBB RD <br />GRAND ISLAND, NE 68803 -0000 <br />COURT RECORDING INFORMATION: _ <br />Liber Page UC No Serial No. <br />n/a n/a 9916782957 -2 201607827 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />• <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Wiling <br />l el <br />Unpaid Balance <br />of Assessment <br />rf) <br />941 <br />************************ <br />06/30/2016 <br />XX- XXX8886 <br />YfYt' kYt*****. <br />09/19/2016 <br />v*k*1t*'1C***** <br />• <br />10/19/2026 <br />*** * * * * * * * ** <br />15602.64 <br />c * * * * * * * * * * ** * * ** <br />Place of Filing <br />• Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 15602.64 <br />lun, 2017 3:01PM 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 , 2017, <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />No. 1053 P. 5/10 <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. 409) Form 668 (Z) (Rev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />69 <br />