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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2104000605-8 Pages: 1 <br />Debtor Name: JANELL M DAAKE <br />Filing Date and Time: 04/12/2021 11:41 AM <br />202102951 <br />)Forth -*- (Z) <br />668(Rev. 10-20001 <br />17489 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 />792919211 <br />For Use by Recording Office <br />I certify that the following -named taxpayer, under the requirements of section 8325 (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 <br />on June 22 <br />2011 <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 />JANELL M DRAKE <br />Residence 1416 SYLVAN ST <br />GRAND ISLAND, NE 68801-7161 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9911664631-9 0201104660 <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 />RefUing <br />of Assessment <br />(a) <br />(b) <br />(a) <br />(d) <br />(a) <br />(f) <br />1040 <br />12/31/2007 <br />XXX -XX -9033 <br />03/21/2011 <br />04/20/2021 <br />257.45 <br />1040 <br />12/31/2009 <br />XXX -XX -9033 <br />02/21/2011 <br />03/23/2021 <br />2588.24 <br />*********************************4**************************************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 2845.69 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 21st day of March , 2021, <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. 4091 Form 668 (Z) (Rev. 10-20001 <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />