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03/08/2012 TBU 14:3A FA7L 402 471 4429 UCC SBCRETARY OF 5TATE ��� qall <br />Fornt 668 (Z) <br />1Rav. 10-2000} <br />3592 <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Itelease of F�deral Tax Lien <br />Area: Serial Number For Use I <br />SMALL BU3INBS9/SELF EMPLOYFD AREA #4 <br />Lien Unit Phune (800) 913-6050 821882111 <br />1 certify that the fotfowing-named taxpayer, under the requirements of section 6325 (a) � <br />of the Internal Revenue Code has satisfiied the ta�ces listed below and all statutory :� <br />additions, Therefore, the lien provided by Code' section 6321 for these taxes and <br />additians has been �eleased, The proper officer in the office where the notice of ' <br />internal revenue tax lien was filed on OCtober 27 � � <br />2 011 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />GORDON P & ROSEMARY BLAKE <br />Residence2455 LAMAR AVE <br />GRAND ISLAND, NE 68803 <br />CO ORDING INFORP�lATION : <br />Liber Page � No. Serial Na. <br />n/a n/ 9911675209-7 201108020 <br />1K�nd of Tax <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Grand Island, NE 68802-1692 <br />2012 <br />Total � $ 1�•58 . 43 <br />This notice was prepared and signed at <br />the 22nd day of February <br />Signature <br />1040 I12/31/2009� XXX-XX-0433 Id7/11/2011I 48/10/2021 � 1458.03 <br />�r�t*�t****I*****,r***** ******ar****�r�r•k�r�t**,t****x����****�r*�r*** ****�,r���*x,t*��� <br />Place of Filing <br />Title Director, Campus Complia:eice <br />operations <br />(NOTE: Certificate of officer authorized by law to take acknowledgmants is not essential to the vaiidity of GeR�ticate ot ttetease ar <br />Federal Tax lien Rev. Rut. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rc�v. 10-2006} <br />Part 1- RECORDING OEFICE ���. ;�� ��.��•�,� <br />Date of I I.ast D�y for I Un�p�id Ba�anc� <br />Assessment Re�il�� �f ��sse�sser���us <br />CHICAGO, IL <br />�005/005 <br />20120�82� <br />, on this, <br />� <br />� <br />= �, <br />:` <br />i' <br />c <br />