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12/28/2011 W8D 15:11 FAx 402 471 4429 UCC SECRETARY OF STATE -�y-� Fiall <br />2 0 1 109�6;i <br />v�' <br />Depattment of the Treasury - Internal Revenue � �NE Sec oi Siale John A aa�a - u�r CqFT6 <br />Certificate of Release of Federa! T� <br />3592 <br />Form 668 (Z) <br />SRev. 10-2W0) <br />Area: • Serial Number <br />SMALL BUSINESS/SELF EMPLOYED ARFs'A #4 <br />Lien Unit Phone: (800) 913-6050 623903010 <br />9911680569-6 Pss: i <br />I certify that the following-named taxpayer, under the requirements of sectian 6325 (a) SKILES RNONDR S <br />of the Internel Revenue Code has satisfied the taxes listed below and all statutory Filed: 12/28/2011 im:ae ari <br />additions. The�efore, tha 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 Febnlary 16 <br />2 010 , is authorized to note the hiooks to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />TRAVIS K& RHONDA S SKILES <br />Residence4247 SPUR LN <br />GRAND TSLAND, NE 68803-2235 <br />COORT RECORDING IIVFORMATION: <br />Liber Page UC Serial No. <br />n/a �n/a 9106].9922-9 201001065 <br />Tax Period Date of Last Day for <br />Kind of Tax Ending ldeatifying 1�[umber Au�ssment Refiling <br />Iln�paid Batanc� <br />of l�ssessmene <br />1040 I 12/31/2005 I XXX-XX-3410 �05/29f2006� 06/28/2016 � 4200.18 <br />*�******h�***�r�t****��r�*�r*�***�**�r*�x �*******�* **�*****�*,�* ,�***���*,r**,��r*�� <br />Place of Filing <br />r Register of Deeds <br />� � Hall � POBOX� 1692 � <br />Gr�nd Island, NE 68802-1692 <br />Total � $ <br />This notice was prepared and signed at <br />the 16th day of December � 2011 <br />• Signature .. <br />Titie Dir�ctor, Campus � Compliance <br />Operations . . <br />i <br />(NOTE:'Certificete of offlcer authorized by I,ew, to take acknowledgments is not essendal to the validity of Certiticate oi Reteaes of <br />Faderal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) • Form 668 (Z) iRev. '10-2000! � <br />. • � . � Part 1 � RECORDING OFFICE • . , . ��nT n�n �Fcxti�� t • <br />CHICAGO, IL <br />Q�003/Q04 <br />� �, <br />� <br />�� <br />• � 4200.1�8 <br />" . f <br />. �: <br />_ , on this, i_� <br />.. . . �.. <br />, �. <br />i <br />�� / ' <br />