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NE Sec of State - Robert B. Evnen20250075 <br />Filing Document #: 2502000280-1 Pages: 1 <br />Debtor Name: TOURNEY BROTHERS METAL FABRICATION <br />Filing Date and Time: 02/12/2025 08:51 AM <br />Form 668 (Z) <br />(Rev. 10-2000i <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 />252541917 <br />For Use by Recording Office <br />1 certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2017 <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 (a) <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 March 29 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />TOURNEY BROTHERS METAL FABRICATION <br />Residence104 E 6TH ST <br />WOOD RIVER, NE 68883 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 991.7789462-2 201701939 <br />Kind of Tax <br />fa) <br />Tax Period <br />Ending <br />fb) <br />Identifying Number <br />fcl <br />Date of <br />Assessment <br />Id) <br />Last Pay for <br />Refiring <br />fed <br />Unpaid Balance <br />of Assessment <br />if! <br />941 <br />*********************************,***********************<**************** <br />09/30/2016 <br />XX-XXX8025 <br />02/06/2017 <br />03/08/2027 <br />10349.77 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 10349.77 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />25th day of December , 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.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />