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04/10/2012 TUE 15:43 FAX 402 471 4429 UCC SECRETARY OF 5TATE ��� Hall <br />D <br />� Form 668 (Z) <br />(Rev. 10•2000) <br />�004/�004 <br />11953 Department of the Treasury - Interrial Revenue Service <br />Ce�tif cate of Release of Federa[ Tax Lien � 0�. 2 0 2� 17 <br />Area: Serial Number <br />SMALL SLTSINESS/SFLF EMPLOYED ARLA #4 <br />Lien Unit Phone: (800) 913-6050 459146308 <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a> <br />of tha Intemal Revenue Code has satisfied the taxes listed below and all 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 />interna( revenue tax lisn was filed on August 18 � _ <br />2 0 0 8 , is authoriaed to note the boaks to show the release of this lien for <br />these taxes and addftions. <br />Name of Taxpayer <br />JAMES L& CHRZSTY A GNADT � <br />Residence1009 W DIVISION ST " <br />GRAND ISLAND, NE 68801-6453 <br />COURT RFCORDING TNFORMATION: <br />Liber Page UCC Serial No. <br />nJa n/a 908568762-2 2008072.01 <br />Tax Period <br />Kind of Tax Er�ding ldenti�fying <br />�f State John Q <br />oe�e - ucc c�n� <br />i8970b Pes : 1 <br />q�RISTY R <br />: 04i1�l2012 12:22 PM <br />Date of I Last Day tor I. ilnpaid Balance <br />Assessment Refiling of Assessment <br />1040 . 12/31/2006 XXX--XX-7419 05/28/2007 06/27/201.7 � 5265.12 <br />****�*�* �******�r** ��*,�***�****'* ********** ***�*�*�**** *******,�*******,� <br />Place ot Filing <br />Register of Deeda . <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Tota1 �$ 5265.12 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 28th day of �arch � 2012 <br />Signature �� Title <br />operations Manager, <br />Centralized Case Processing-Lien Unit <br />(NOTE; Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federel Tax lien Rev, Rul. 71-466, 1971 - 2 C.B. 4fl9) Form 668 (Z) (Rav. 10-2000) <br />Part 1- RECORDING OFFICE CAT. NO 600261 �11 / <br />11" <br />a <br />