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Oct. 23. 2017 2:55PM NE Secretary of State — UCC No. 2360 P 4 <br />Form 668 (Z) <br />(Rev. 1 0.20001 <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 183784415 <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 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 on November 18 <br />2015 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />VONNIE WHITE <br />Residence2565 W PLATTE RIVER DR <br />DONIPHAN, NE 68832 -9608 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9915764096 -2 201507954 <br />Date of <br />Assessment <br />(d) <br />11/12/2012 <br />11/12/2012 <br />* v********** *** ***** *'****T**** ***** * ****** <br />Kind of Tax <br />(a) <br />the <br />CIVP <br />CIVP <br />Place of Filing <br />Signature <br />Tax Period <br />Ending <br />(b) <br />12/31/2009 <br />03/31/2010 <br />lath day of October <br />J <br />identifying Number <br />(c) <br />XXX -XX -8857 <br />XXX -XX -8857 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />2017 <br />Last Day For <br />Refilmg <br />(e) <br />12/12/2022 <br />12/12/2022 <br />For Use by Recording Office <br />N[ S.., of S4.lr JvHn A Gale - uc C.FYL <br />9917800340 -0 Pas: 1 <br />WHITE VONNIE <br />Filed: 10/23/2017 10;37 AM <br />Total $ <br />Title <br />Operations Manager, <br />Centralized Lien Operation. <br />20170719,E <br />Unpaid Balance <br />of Assessment <br />(f) <br />186.17 <br />24973.80 <br />25159.97 <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />(MOTE: 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 1 - RECORDING OFFICE ,- Ar pi annolea .11 . <br />