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tiuluu63Uy <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 1910000723-9 Pages: I <br />Debtor Name: JAMES H TRUELL <br />Filing Date and Time: 10/15/2019 02:53 PM <br />Form 668 (Z) <br />(Rev, 10.26401 <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 #4 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />146710615 <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 />2015 <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 <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes <br />proper officer in the office where the notice <br />on March 19 <br />(a) <br />and <br />of <br />lien for <br />the books to show the release of this <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 9915750738-8 201501651 <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 Day for <br />Refiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(I) <br />1040 <br />r*vr******************************************************4*********,r****** <br />12/31/2012 <br />XXX -XX -6144 <br />01/12/2015 <br />02/11/2025 <br />28142.57 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 28142.57 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />27th day of September, 2019. <br />Signature <br />Title <br />Operations Manager, <br />Centralized 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 lien Rov Rul 71-466, 1971 - 2 C.B. 409) Form 668 (Z) IRev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />