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06/16/2p09 TUE 14:19 FAX 402 471 4429 UCC SECRETARY pF STATE ~~~ Hall _._ Register of Deeds Hall POBOX 1692 Grand zsland, NE 68802-1692 V Y I -- - 8 8 D 1 Department of the Treasury -Internal Revenue Service Form bb8 (Z) Certificate of Release of Federal Tax Lien {Rev. 10.20001 Area: Serial Number For Use b Recordin Office SMAT,I, ROSINESS/SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 913-6050 515737909 NE Sea of ~,{~{~ John p Gala _ pCC CRFTL I certify that the following-named taxpayer, under the requirements of section 6325 (a) of the Internal Revenue Code has satisfied the taxes listed below .and all statutory additions. Therefore,~the lien provided by Code section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on Februar 20 ~aegsas7as_q Pgs: ~ D 0 9 Is authorlled t0 nOte the bOOks t0 ShOW the release Of this lien fOr KLINGINSMI7H OENNETq M Filed: Q6/15/20e9 01:38 PM these taxes and additions. Name of Taxpayer 2 ~ ~ ~ {~ /~ $ CJ 1 DENNETA M KLTNGINSMITH Residence 1621 HAGGE AVE GRAND ISLAND, NE 68801-7446 COURT RECORDING INFORMATION; Liber Page Serial No. n/a n/a 9909587562-3 2009D1264 Tax period Kind of Tax Ending ldenti Date of I last Dayy for I Unpaid Balance Assessment Refiling of Assessment 1040 I12/31/2DD6 XXX--XX-0722 01/D5/2D09 02/04/2019 164.03 Place of Filing Total ~ $ 164 , 03 Th1s notice was prepared and signed at the 03rd day of June Signa(~te CHICAGO, IL 2009 I~Op2/pp2 on this, . ,l,,E,~ I 'fMtle Director, Grampus Compliance Operations tna>'t C: Certificate of officer authorized by law to take acknowledgments is not essenrial to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part 1 - RECARDIING OFFICE Form 668 (X) (Rev. 10-2000) NAT AIA Anngh.