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07/15/2026 8:04:19 PM -0400 IRS PAGE 4 OF 4 <br />20260$498 <br />Nebraska Secretary of State `o <br />Form 668 (Z) <br />IRev. t0.20001 <br />5191 Department of the Treasury • Internal Revenue <br />Certificate of Release of Federal Ta <br />Area: <br />WAGE & INVESTMENT AREA 02 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />311159718 <br />I certify that the following -named taxpayer, under the requirements of section 6325 la) <br />or me Internal Mevenue lode nee satisfied the taxes listed 4elow ana as 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 on June 18 <br />2018 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />DANA J & PAMELA L PETERSON DECD <br />Residence 1010 N EDDY ST <br />GRAND ISLAND, NE 68801-4057 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9918813863-5 201803902 <br />-FILED- <br />File #: 2608128270-4 <br />Date Filed: 8/25/2026 9:00 AM <br />Kind of Tax <br />la! <br />1040 <br />Tax Period <br />Ending <br />lb) <br />12/31/2008 <br />Identifying Number <br />lc) <br />XXX-XX-4029 <br />Date of <br />Assessment <br />Idl <br />08/27/2012 <br />Lasto _ Day t <br />Re ni <br />le) <br />09/26/2022 <br />Unpaid Wane <br />of Assessment <br />(I) <br />47691.44 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total $ 47691.44 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 15th day of July <br />Signature <br />. 2026. <br />a,e.tr <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 Tee lien Rev. Rul. 71-466, 1971 • 2 C.8. 4091 Form 416e (Z) Iftev. 10.20001 <br />Part t • RECORDING OFFICE CAT. NO 600261 <br />w <br />0 <br />0 <br />LO:8 9Z0Z/SZ/80 <br />Received by Nebraska Secretary of State <br />