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Nov. 28. 2017 3:34PM NE Secretary of State — UCC No. 2675 F. 2 <br />Form 668 (Z) <br />(Rev. 10 -000) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 - 6050 <br />Name of Taxpayer <br />NICHOLAS WINFREY <br />D /B /A WINFREY PLUMBING <br />Residence 808 W NORTH FRONT STREET <br />GRAND ISLAND, NE 68801 -4738 <br />Liber Page <br />n/a n/a <br />Kind of Tax <br />941 <br />Place of Filing <br />This notice was prepared and signed at <br />the <br />Signature <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />COURT RECORDING INFORMATION: <br />U ►• Serial No. <br />9911665183 -9 201104811 <br />Identifying Number <br />(c) <br />XX- XXX5670 <br />01st day of November , 2017 <br />Serial Number <br />794667411 <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 June 29 <br />2 011 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />bate of <br />Assessment <br />(d) <br />05/02/2011 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />For Use by Recording Office <br />1+11 t.c of Slate John A Gale - UGC CaCTL <br />r <br />99178®2175 -1 Pea: 1 <br />WINFREY NICHOLAS <br />Filed; 11/28/2017 10:09 AM <br />Last Day for <br />Refining <br />Tax Period <br />Ending <br />(b) <br />06/30/2009 <br />* ************************ * ** * * * * *- T** * ** * * * * *** * * * ** * *w* *fir <br />fe) <br />06/01/2021 <br />Total <br />CHICAGO, IL , on this, <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />201768131 <br />Unpaid Balance <br />of Assessment <br />(f) <br />2257.25 <br />* * * * * * * * * * * * * * ** <br />$ 2257.25 <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tex lien Rev. Rul. 71 -466, 1971 - 2 0.9, 409) Form 668(Z) (Rev. 10-20001 <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />i(( <br />