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nt, sec of State - Kooert t3. Cvnen <br />Filing Document #: 2003001247-7 Pages: 1 <br />Debtor Name: DAVID P KIRBY <br />Filing Date and Time: 03/20/2020 12:00 PM <br />202001799 <br />Form 668 (Z) <br />IRev. 10-20001 <br />17505 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: (B00) 913-6050 <br />Serial Number <br />331756918 <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 6321 for these taxes and <br />proper officer in the office where the notice of <br />on November 21 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />DAVID P & HAIDEE KIRBY <br />Residenco1189 E CAPITAL AVE <br />GRAND ISLAND, NE 68801-3080 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. __ Serial No. <br />n/a n/a f-1811001082-6" 201807605 <br />Kind of Tax <br />(al <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(dl <br />Last Day for <br />Refiling <br />(el <br />Unpaid Balance <br />of Assessment <br />(fl <br />1040 <br />*********************************4***********************a.**************** <br />12/31/2017 <br />XXX -XX -5243 <br />08/20/2018 <br />09/19/2028 <br />67991.52 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 67991.52 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />26th day of February 2020. <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />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. 4091 <br />Part 1 - RECORDING OFFICE Form 668 (Z) (Rev. 10-20001 <br />CAT. NO 600261 <br />