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202205790 <br />NE Sec of State - RobertB. Evnen <br />Filing Document #: 2208000193-3 Pages: 1 <br />Debtor Name: B & B CARPET SERVICE INC A CORPORAT <br />Filing Date and Time: 08/04/2022 09:35 AM <br />--*-- <br />Form 668 (Z) <br />?Rev. t0-20001 <br />17628Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #6 <br />Lien Unit Phone: 18001 913-6050 <br />33222586918 <br />I certify that the following -named taxpayer, under the requirements of section 6325 (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 November <br />26 <br />2018 , is authorized to note <br />the books to <br />show <br />the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />B & B CARPET SERVICE INC, a Corporation <br />Residence PO BOX 6 <br />DONIPHAN, NE 68832-0006 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 1811001148-1 201807639 <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 />Refiling <br />of Assessment <br />(a) <br />(bl <br />(c) <br />(dl <br />(e) <br />(fl <br />941 <br />09/30/2017 <br />XX-XXX2291 <br />01/01/2018 <br />01/31/2028 <br />26825.94 <br />941 <br />12/31/2017 <br />XX-XXX2291 <br />03/26/2018 <br />04/25/2028 <br />86.50 <br />941 <br />03/31/2018 <br />XX-XXX2291 <br />07/09/2018 <br />08/08/2028 <br />25873.91 <br />941 <br />06/30/2018 <br />XX-XXX2291 <br />09/24/2018 <br />10/24/2028 <br />25374.52 <br />******r*z****t***a*********rr*** <br />********************'r**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 78160.87 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL <br />the <br />20th day of July <br />2022, <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. Rut. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) iftev. 10.2000# <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />