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Nov. 26. 2013 3:39FM NE Secretary of State <br />Na. 1356 F. 1 <br />NE Sec of Slate - John A. Gale <br />Filing Document #: 1811001150-6 Pages: 1 <br />mew Nom=: FJaST AMERICANS INSURANCE GROUP INC <br />Mug Date aid Time: 11126120 11 10:59 AM <br />201.807641 <br />-} <br />Form 660 (1) <br />0%,, 10.200DY <br />11874 Department of the Treasury - Internal Revenue Service , <br />Certificate of Release of Federal Tax lien <br />Area: I <br />SMALL $U61NEss/sELY7 EMPL0YID *Rsn ff4 <br />Lien Unit Phone: (000) 913-6050 I <br />Serial Number <br />6122240a9 <br />For Use by Recording Office <br />1 certify that the following -named taxpayer, under the requirements of section e325 tel <br />of the Interne) Revenue Code hes estisfIed the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 0321 for these taxes and <br />additions has been released, The proper officer in the office where the notice of <br />Internal revenue tax Ren was filed <br />on January 13 <br />2010 <br />, is euthuri ed to note <br />the books to *haw the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />FIRST AMERICANB INSURANCE GROUP INC <br />Res&denoePO BOX 2085 <br />GRAND ISLAND, NE 98802-2085 <br />COURT RECORDING INFORMATION: <br />Liber Page DCC No. Serial No. <br />n/a n/a 9910616625-6 201000312 <br />Tax Fantod <br />Date of <br />Last <br />Day for <br />Unpaid Balance <br />Kfnd of Tax <br />bidingIdendfykig <br />Number <br />A>srssmfnx <br />Raft <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(dt <br />(e) <br />in <br />1120 <br />12/31/2002 <br />XX--XXX7735 <br />10/13/200e <br />11/12/2018 <br />124118.90 <br />CIVP <br />12/31/2006 <br />XX-XXX7735 <br />09/14/2009 <br />10/14/2019 <br />1035,00 <br />***,*******y;*******'******e******R <br />r*area a*************fir***i***************** <br />Place of Filing <br />Register of Deeds <br />Hall PO13OX 1E92 Total <br />$ 125153.90 <br />Grand Iel'and, NE 68802-1692 <br />This notice was prepared and signed at <br />the <br />C1' iICACO, IL , on this, <br />11th day of November , 2018. <br />Title <br />Operations Manager, <br />Centralised Lien Operation <br />(MOTE; Certificate of officer authorised by law to take acknowledgments le riot essential to the validity of Carritieete of Release or <br />Federal Tax Ilan Re.. Rel. 71-466, 1871 .:2 C.a. 409) Form 666 (Z) (Rev. 10-20001 <br />Pace t - LECORt)lNG O»CE CAT. NO 600261 <br />