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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2012000141-5 Pages: 1 <br />Debtor Name: RONALD KING <br />Filing Date and Time: 12/03/2020 10:41 AM <br />202009498 <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: (800) 913-6050 <br />Serial Number <br />868756512 <br />For Use by Recording Office <br />I certify that the following -named taxpayer, under the requirements of section 6325 la) <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 <br />on May 29 <br />2012 , <br />is authorized to note <br />the books to show the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />RONALD KING <br />Residence 2615 W CHARLES ST <br />GRAND ISLAND, NE 68803-5702 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a (2692850-9: 201204260 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />RefBing <br />of Assessment <br />(al <br />(b) <br />(c) <br />(di <br />(a1 <br />(l <br />1040 <br />12/31/2006 <br />XXX -XX -7944 <br />03/12/2012 <br />04/11/2022 <br />430.97 <br />1040 <br />12/31/2007 <br />XXX -XX -7944 <br />04/23/2012 <br />05/23/2022 <br />11257.23 <br />**************************e*****v**************,t**,r***,r****************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 11688.20 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />CHICAGO, IL <br />the 12th day of November , 2020 , <br />on this, <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 Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />