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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2012000143-3 Pages: 1 <br />Debtor Name: RONALD KING <br />Filing Date and Time: 12/03/2020 10:45 AM <br />``0200900 <br />Form 668 (Z) <br />irtev. 10.2,x, <br />17505 Department of the Treasury . Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SE . ' EMPLOY=L? AREA #4 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />8884'71212 <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 />2012 <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 <br />satisfied the taxes <br />by Code section <br />proper officer in <br />on August <br />requirements <br />listed <br />the <br />show <br />of section 6325 (a1 <br />below and all statutory <br />6321 for these taxes and <br />office where the notice of <br />27 <br />the books to <br />the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />RONALD KING <br />Residence2615 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 (9'91'2698186-6''`: 201207174 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />lb) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiling <br />(01 <br />Unpaid Balance <br />of Assessment <br />(0 <br />1040 <br />* * * * * * * * <br />12/31/2009 <br />* 'k * * * * * * * * * * <br />XXX -XX -7944 <br />* * * * * * * * * * * * *'t <br />07/16/2012 <br />* * * * * * * is * * * <br />08/15/2022 <br />* * * * * * * * * * * * <br />v * * <br />1724.94 <br />* * * * * * * * * * * * * * <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ <br />1724.94 <br />This notice was prepared and signed at <br />the 12th day of November 2020 , <br />Signature <br />CHICAGO, IL <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. 409) <br />Form 668 (Z) (Rev. 10.20001 <br />Pan 1 - RECORDING OFFICE <br />CAT. NO 600261 <br />