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202505466 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2509000921-4 Pages: 1 <br />Debtor Name: SHANNON BURKS <br />Filing Date and Time: 09/30/2025 10:13 AM <br />Form 668(Z) <br />May. 10-20001 <br />4188 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: (B00) 913-6050 <br />Serial Number <br />519283025 <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 />2025 <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 6325 (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 July 29 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />SHANNON BURKS <br />ResidenceS39 LITTLE BLUESTEM DR S <br />GRAND ISLAND, NE 68803-3070 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 2507001086-9 202504135T <br />Kind of Tax <br />(a) <br />Pedod <br />En <br />(b/ <br />Identifying Number <br />(c) <br />of <br />�sment <br />(d) <br />Last Day <br />Rreiipnfor <br />(a) <br />of Assessmennpaid t <br />If) <br />1040 <br />********************,t**t,e,t**,tr►***..****************,r*t,t*** <br />12/31/2023 <br />XXX-XX-4476 <br />09/30/2024 <br />10/30/2034 <br />98837.88 <br />*+tir*,r*w,t,t,r*,rw,t** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 98837.88 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 03rd day of September, 2025, <br />Signature <br />et„.er <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 veiidity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (2) (Rev. 10-2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />