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201906398 <br />NF. Sec of State - RobertB. Evnen <br />Filing Document #: 1910000711-4 Pages: 1 <br />Debtor Name: JAMES H TRUELL <br />Filing Date and Time: 10/15/2019 02:44 PM <br />Form 668 (Z) <br />(Rev. 10-20001 <br />18332 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA ff6 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />302875418 <br />For Use by Recording Office <br />I certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2018 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien was filed <br />, is authorized to note <br />additions. <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 8321 for these taxes and <br />proper officer in the office where the notice of <br />on April 11 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />JAMES H TRUELL <br />Residence903 W DIVISION ST <br />GRAND ISLAND, NE 68801-6451 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9918809310-8 201802301 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last <br />Refig <br />Day for <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />************************, <br />12/31/2015 <br />XXX -XX -6144 <br />********<*****************************,r*****sr***,r <br />02/19/2018 <br />03/20/2028 <br />12248.11 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 12248.11 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />27th day of September, 2019. <br />, on this, <br />Signature <br />zt,L_ a/7r <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOTE: Certificate of officer authorized ny 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. 4091 Form 668 (Z) (Rev. 10-20001 <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />