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11/22/2021 12:21:31 PM -0600 IRS <br />20211002 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2111001379-3 Pages: 1 <br />Debtor Name: KIRK R BACKUS <br />Filing Date and Time: 11/24/2021 09:37 AM <br />7 <br />PAGE 13 OF 23 <br />Form 668 (Z) <br />1Rw. 1020001 <br />12832 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF E14PLOYED AREA 64 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />955767113 <br />For Use by Recording Offico <br />I certify that the following -named taxpayer, under the requirements of section 63251a) <br />of the Internal Revenue Code hes satisfied the taxes listed below and all statutory <br />additions. Therefore, the ben provided by Code section 8321 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 flied on September 06 <br />2013 , is authorized to note the books to show the release of this Tien for <br />these taxes and additions. <br />Name of Taxpayer <br />KIRK R & ROBIN R BACKUS <br />Residence4310 MARIAN RD <br />GRAND ISLAND, NE 68803-1408 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9913722226-5 201307304 <br />Kind of Tax <br />(a) <br />1040 <br />TaxPeriod <br />Ending <br />12/31/2011 <br />Identifying Nommber <br />(a) <br />XXX -XX -0288 <br />Date al <br />( <br />10/29 2012 <br />Last Darr dor <br />(. t <br />11/28/2022 <br />of Unpaid <br />Balance <br />Asae <br />(f% <br />37908.69 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total $ 37908.69 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />15th day of September. 2021 <br />Signature pompne <br />(�(�w•� (�.�� Cetralized Lien Operation <br />(NOTE Certificate of *facer authorized by law to take acknowiadgmonta le not essential to the validity of Certificate of Release of <br />Federal Tax Ilan Rev. Rul. 71-466, 1971 - 2 C.B. 409) <br />Fait 1 - RECORDING orma FOfm K8 (Z) IRev. 10-20001 <br />fax to 402471442a, SOS Uniform Commwclal Code, from IRS Page 13 of 23 mitered an 11/2272021 12:21.27 PM [Central Standard Time) art Serve YTNPAxet <br />on this, <br />rations Manager, <br />