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367 <br />NE Sec of State - Robert B. Evneii — — — <br />Filing Document #: 2105000047-9 Pages: 1 <br />Debtor Name: JERRY TYNAN AGENCY INC, A CORPORATI <br />Filing Date and Time: 05/03/2021 02:24 PM <br />Form 668 (Z) <br />(Rev. 10-2000) <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 84 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />942647613 <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 />2013 <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 8325 la) <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 June 11 <br />the books to show the release of this lien for <br />these taxes and <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 UCC No. Serial No. <br />n/a n/a 9913716747-1 201304624 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />tdendfying Number <br />(c1 <br />Date of <br />Assessment <br />(d <br />Last Daayy for <br />Rng <br />Unpaid Balance <br />of Assessment <br />01 <br />941 <br />***************,t**rt************** <br />12/31/2012 <br />XX-XXX5844 <br />05/20/2013(e <br />r***************************,t*,t********** <br />06/19/2023 <br />1619.12 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 1619.12 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 07th day of April , 2021. <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOTE: Certificate of officer authorized by law to take acknowledgmems 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 i - RECORDING OFFICE Form 668 (Z) (Rev. 10-2000) <br />CAT. NO 600261 <br />