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10111/2019 11:31:06 AM -0500 IRS <br />S <br />NE Sec of State - Robert R. Evnen <br />Filing Document #: 1910000856-6 Pages: 1 <br />Debtor Name: JAMES H TRUELL <br />Filing Date and Time: 10/16/2019 12:24 PM <br />201906432 <br />PAGE 3 OF 5 <br />Form 668 (Z) <br />titev. to achlO1 <br />2284 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL RtJSINESS/SELF EMPLOYED AREA f)4 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />956694113 <br />For Use by Recordii 19 Office <br />I certify that the following -named taxpayer, under the requirements of section 6325 fa) <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 September 10 <br />2013 , is authorized to note the books to show the release of this lien for <br />those taxes and additions. <br />Name of Taxpayer <br />JAMES H TRUELL & KARLA J ANDREASEN <br />Residence 903 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 9913722463-7 201307411 <br />Tax Period <br />Date of <br />Last D.w for <br />Uapaki Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refilingof <br />Assessment <br />(at <br />MI <br />f .) <br />(df <br />ret <br />In <br />1040 <br />12/31/2009 <br />XXX -XX -6144 <br />08/05/2013 <br />09/04/2023 <br />25767.07 <br />*****fr,r+********tr.t********* <br />wires«te,ta>rirititi*****t*i <br />tit*****,t**lir**************,r <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 25767 , 07 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the <br />20th day of September 2019 <br />CHICAGO, IL <br />, en this, <br />Signature <br />Title <br />Operations Manager, Centralized <br />Lien Operation <br />(NOTE Certificate of officer authorized by law to rake acknowledgments is not Ahxentia: 1n the validity of Certificate of Release of <br />Federal Tax lien Rev. Rut. 71-466, 1971 - 2 C.B. 4091 Form 668 (Z) (Rev- 14.2404'r <br />Part t - RECORDING OFFICE CAT. NO 600261 <br />Fax to 4024714429. SOS Uniform Commercial Code, From IRS Page 3 of 5 received on 10/1112019 11:31:02 AM (Central Daylight' <br />