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Area: <br />SMALL StJSIIdESS /SELF EMPLOYED AREA *4 <br />Serial Number <br />For Use by Recording Office <br />N E 5a. of 5 ata John A G.Ia - UCC CRFTL <br />Lien Unit Phone: (800) 913 -6050 <br />923589113 <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />11 <br />1 <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />11 <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 />9917799645 <br />-6 <br />Pes: <br />internal revenue tax lien was filed <br />on March 04 <br />MID- AMERICA TRANSFER NC A cOR <br />Filed: 10/17/2017 11:11 AM <br />the books to show the release of this lien for <br />2013 <br />, is authorized to note <br />these taxes and <br />additions. <br />Name of Taxpayer <br />MID- AMERICA TRANSFER INC, a Corporation <br />Residence PO BOX 1767 <br />GRAND ISLAND, NE 68802 -1767 <br />COURT RECORDING INFORMATION: <br />Liber Page <br />UC <br />Serial No. <br />n/a n/a <br />9913709865 <br />-2 201301709 <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 />Railing <br />of Assessment . <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />941 <br />09/30/2012 <br />XX- XXX7800 <br />01/07/2013 <br />02/06/2023 <br />5538.58' <br />• <br />• <br />• <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 5538.58 <br />Grand Island, NE 68802 -1692 <br />the <br />Oct. 17. 2017 3:42FM1 NE Secretary of Sate — UCC <br />I a <br />� <br />U- <br />Form 668 (Z) <br />IRev, 10 -20001 <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Nc.2280 F. <br />201707068 <br />This notice was prepared and signed at <br />CHICAGO, IL , on this, <br />Signature <br />27th day of September 2017, <br />Title <br />Operations Manager, <br />Centralized Lien Operation <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.R. 409) Form 668 (Z) (Rev. 10-20001 <br />Part 1 - RECORDING OFFICE rAT r enn7a1 <br />