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D De._11,_2017 jE 3_33FM NE Secretary of State — UCC Na. 2875 F. 3/4 <br />Form 668 (Z) <br />IRcv. 14 -20001 <br />Area: <br />SMALL BOSINESS /SELF EMPLOYED AREA 04 <br />Lien Unit Phone: (8o0) 91.3 - 6050 <br />I certify that the following -named taxpayer, under the requirements of section 8325 la) <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 Tien was filed on December 30 <br />2014 , is authorized to note the books to show the release of this lien For <br />these taxes and additions. <br />Name of Taxpayer <br />JERRY L & CAROLE L DENTON <br />Residence 114 PONDEROSA DR <br />GRAND ISLAND, NE 68803 -9 <br />COURT RECORDING INFORMATION: <br />Lihex Page . HCCNfl__ - Serial No <br />n/a n/a (9914746860 =9 201408156 <br />Tax Period <br />Ending <br />Kind of Tax <br />(a) <br />1040 12/31/2002 <br />* * * * * * * * ** * * * * * * * * * * <br />Place of Filing <br />This notice was prepared and signed et <br />the <br />Signature <br />2284 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />(b) <br />Identifying Number <br />fc) <br />XXX -XX -3 010 <br />t** ** *** * * * ** <br />Serial Number <br />132417314 <br />Date of <br />Assessment <br />(d) <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />21st day of November , 2017. <br />CHICAGO, IL <br />Lase Day for <br />Rct ng <br />(e) <br />20170839a <br />For Use by Recording Office <br />NE Sec or S4aie Jahn R O.I. . UGC CUM <br />9917802872 -9 Pge: 1 <br />DENTON CRROLE L <br />Filed: 12111/2017 01 :66 PM <br />Unpaid Balance <br />of Assessment <br />1 01/1 <br />tw********* * ********* ** *.r* ***f*********** <br />4 5 3 21.4 3 <br />Total 45321.43 <br />on this. <br />Title <br />Operations Manager, Centralized <br />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 lion Rev. Rul. 71 -464, 1971 - 2 C.B. 409) Form 668 (1) (Rev. 10 -20001 <br />P*r t - WORDING OIFF7CE CAT. NO 600281 <br />