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202401057 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2403000470-2 Pages: I <br />Debtor Name: TOURNEY BROTHERS METAL FABRICATION <br />Filing Date and Time: 03/14/2024 09:22 AM <br />Form 668 (Z) <br />IRev. 10-20001 <br />3005 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 />171596715 <br />For Use by Recording Office <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 hen 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 August 28 <br />2015 <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 />TOURNEY BROTHERS METAL FABRICATION <br />LLC <br />Residence PO BOX 39 <br />WOOD RIVER, NE 68883-0039 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9915760009-5 201505924 <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 />la) <br />(b) <br />(c) <br />(d) <br />(el <br />(fl <br />940 <br />12/31/2014 <br />XX-XXX8025 <br />05/11/2015 <br />06/10/2025 <br />263.51 <br />941 <br />03/31/2015 <br />XX-XXX8025 <br />07/13/2015 <br />08/12/2025 <br />2707.91 <br />****kir*****kir********************t***********************k**************** <br />Place of Filing <br />Register of Deeds <br />Ball POBOX 1692 Total <br />$ 2971.42 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />28th day of February , 2024 , <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.a. 409) Form 668 (2) Mex. 10-2000) <br />Part r - RECORDING OFFICE CAT. NO 600261 <br />