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NE Sec of State - RobertB. Evnen <br />Filing Document #:2011000231-8 Pages: 1 <br />Debtor Name: JERRY TYNAN AGENCY INC, A CORPORATI <br />Filing Date and Time: I I/04/2020 10:10 AM <br />202008629 <br />Form 668 (Z) <br />Me,10-200(3.1 <br />17505 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 <br />933413913 <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <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 May <br />07 <br />2013 <br />, is authorized to note the books to show <br />the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />JERRY TYNAN AGENCY INC, a Corporation <br />Residence 3 614 BRONCO RD <br />GRAND ISLAND, NE 68801-8660 <br />COURT RECORDING INFORMATION: <br />Liber Page <br />UCC No_ Serial <br />No. <br />n/a n/a <br />(51'13714564-1 201303655 <br />Kind of Tax <br />TaxPeriod <br />Ending <br />Idents tying Number <br />Date iofe <br />Assessment <br />Last Day for <br />Re <br />Unpaid net <br />(a) <br />(b) <br />Al <br />(d) <br />(el <br />(/l <br />941 <br />09/30/2010 <br />XX-XXX5844 <br />01/03/2011 <br />02/02/2021 <br />31.81 <br />941 <br />03/31/2011 <br />XX-XXX5844 <br />07/09/2012 <br />08/08/2022 <br />2176.84 <br />941 <br />06/30/2011 <br />XX-XXX5844 <br />07/09/2012 <br />08/08/2022 <br />2132.01 <br />941 <br />09/30/2011 <br />XX-XXX5844 <br />07/09/2012 <br />08/08/2022 <br />2089.13 <br />941 <br />12/31/2011 <br />XX-XXX5844 <br />07/09/2012 <br />08/08/2022 <br />1976.24 <br />941 <br />03/31/2012 <br />XX-XXX5844 <br />07/09/2012 <br />08/08/2022 <br />1718.95 <br />941 <br />06/30/2012 <br />XX-XXX5844 <br />10/22/2012 <br />11/21/2022 <br />1793.81 <br />941 <br />09/30/2012 <br />XX-XXX5844 <br />03/18/2013 <br />04/17/2023 <br />1777.19 <br />* * * * * * * * <br />* * * * * * * * * * * * <br />* * * * * * * * it * * * * <br />r * * * * * * * * * * * <br />* * * * * * * * * * * * <br />* * * <br />* * * * * * * * * * * * * * <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />13695.98 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />07th day of October , 2020. <br />, on this, <br />Signature <br />a,aivier <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 lion Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) IRev. 10 20001 <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />