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- - * -- <br />Form 668 (Z) <br />(Rev. 10 -20001 <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #5 <br />Lien Unit Phone: (800) 913 -6050 <br />Name of Taxpayer <br />JERRY & CAROLE DENTON <br />Residence 1513 STAGECOACH RD <br />GRAND ISLAND, NE 68801 <br />Kind of Tax <br />(a) <br />Place of Filing <br />the <br />De... 11. 2017 3:33FM NE Secretary of State — UCC <br />1040 <br />1040 <br />* *** * * ** <br />Signature <br />11874 Department of the Treasury - •Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />21st day of November 2017 <br />Serial Number <br />• <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />977546714 <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 January 22 <br />2014 , is authorized to note the books to show the release of this lien for <br />these taxes and additions_ <br />COURT RECORDING INFORMATION: <br />Liber Page .rdL'e Serial No. <br />n/a n/a (9914729371-1 201400394 <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refihng <br />(e) <br />0.2875 F. 4/4 <br />For Use by Recording Office <br />RE S.. .f ek.i. Jahn R Gale - <br />9917892E173 --1 <br />DENTON CPROLE <br />Filed: 12/11/2017 01:56 PM <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />20 <br />Unpaid Balance <br />of Assessment <br />(f) <br />UEC CRFTL <br />Pge 1 <br />12/31/2011 XXX -XX -3010 11/19/2012 12/19/2022 30411.60 <br />12/31/2012 XXX -XX -3010 11/25/2013 12/25/2023 38581.32 <br />* * * * * * * * *, * * *** *, * *** * * * ** * * * * * * * * * * * * * * * * * * * ** *art * * * * * * * *** * ***** <br />Total $ 68992.92 <br />This notice was prepared and signed at CHICAGO, IL , on this, <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.B. 409) Form 668 (Z) (Rev. 102000) <br />Part 1 - RECORDING OFFICE CAT. NO 600281 <br />