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• <br />Form 668 (Z) <br />(Rev_ , 0 _ 1000) <br />118 74 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien 201706 <br />Area: <br />SMALL BUSINESS /SELk EMPLOYED ARRA #4 <br />Lien Unit Phone: (8'00) 913 -6050 <br />Serial Number <br />907894612 <br />For Use by Recording Office <br />NE s.c <br />or si.a. <br />J.ti, q <br />.she <br />- UGC <br />crrF7 <br />[certify that the following -named taxpayer, under the requirements of section 6326 (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 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 December 04 <br />89 MIO- rNERI P9s: I <br />RMEHIGA TR RNSFER ING a cotz <br />2012 <br />, is authorized to note <br />the books to show the release of this lien for <br />ciIad: 00/21/2017 02:20 PM <br />these taxes and <br />additions. <br />Name of Taxpayer <br />MID- AMERICA ; TRANSFER INC, a Corporation <br />Residence 104 4 S EUGENE ST <br />GRAND ISLAND, NE 68801-8068 <br />COURT RECORDING INFORMATION: <br />Liber Page <br />YT�C - .N la_ Serial <br />No. <br />9912704045 -7 2 <br />n/a n/a <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 />Refiiing <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />940 <br />12/31/2011 <br />XX- XXX.7800 <br />04/02/2012 <br />05/02/2022 <br />408.10 <br />941 <br />03/31/2011 <br />XX- XXX7800 <br />04/02/2012 <br />05/02/2022 <br />. 8050.95 <br />941 <br />06/30/2011 <br />XX- XXX7800 <br />04/02/2012 <br />05/02/2022 <br />9916.28 <br />941 <br />09/30/2011 <br />XX- XXX7800 <br />04/02/2012 <br />05/02/2022 <br />16374.58 <br />941 <br />12/31/2011 <br />XX- XXX7800 <br />04/02/2012 <br />05/02/2022 <br />16314.'01 <br />941 <br />03/31/2012 <br />XX- XXX7800 <br />08/06/2012 <br />09/05/2022 <br />15364.36 <br />** ***** * <br />* * * **** ** ***fY*I <br />** * *Ye*** ** <br />** ****************** <br />ate***** <br />******* ** ** **** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 66428.28 <br />Grand Island, NE 68802 -1692 . <br />Sep. 21. 2517 4:12FM NE Secretary of State — UCC <br />This notice was prepared and signed at CHICAGO IL <br />on this, <br />the <br />Signature <br />06th day of September, 2017. <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />No. 2556 F . <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 -460, 1971 - 2 C.B. 409) <br />Part 1 - RECORDING OFFICE Form 666 (Z) (Rev. 10 <br />Al' r non ennnc <br />A <br />