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Q4/23/2012 MON 15:48 FAX 402 471 4429 CJCC SECRETARY OF STATE -��y Hall <br />�003/005 <br />Fo17n 668 (Z) 3592 Department of the Treasury - Internai Revenue Service <br />�Re�. ,aZO�o, Certificate of Release of Federa( Tax Lien <br />Area: Seriaf Number <br />SMALL SUSINESS/SELF EMPLOYED AR�pI #4 <br />lien Unit Phone: (800) 913-6050 543893509 <br />• I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Interr�al Revenue Code has satisfied the taxes listed below end all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The p�oper officer in the oftice where the notice of <br />internal revenue tax lien was filad on May 15 � <br />2 0 0 9 , is authorized to note the books to show the release of this lien for <br />these taxes and additions, . <br />Name of Taxpayer <br />JON J' BREDVICK <br />Residence 2445 LAMAR AVE <br />GRAND ZSLAND, NE 68803-6233 <br />COURT CORDING INFORMATION: <br />Liber Page o. Serial No. <br />n/a n/ 99U9596708-4 200903783 <br />Kind of Tax <br />Fo� u�e <br />NE sec of saa�e .IaM a.6ala - utc CAFTL <br />9912890501-8 Pss: 1 <br />BREDVICK JON J <br />Filed: 04/23/2012 09:38 AM <br />zo�.2o32�� <br />Date of I Last D�ay for j Unpaid BaMance <br />Auessmenc Refi[6ng of Assessment <br />1040 12/31/2006 XXX-XX-0925 04/15/2007 05/15/2017 <br />1040 12/31/2006 XXX-XX-0925 07/07/2008 08/06/2018 . 6877.54 <br />,��,�,�,�*��r t*�,r�**�r*�t �***�r�**w*,t,�* ��r***�t**** �**�****�*** ********�r*,�***�r,t <br />0 <br />Place of Fiting <br />Register of Deeds <br />Hall . POBOX 1692 <br />Grand�Island, NE 68802-1692 <br />Total �$ 6877.54 <br />This notice was prepared and signed at <br />the lith day of April <br />2012 <br />CHICAGO, IL <br />, on this, <br />Signature �'-� <br />� \�� <br />Title <br />Operations Manager, <br />Centralized Case Processing-Lien Unit <br />(NOTE: Certificate of officer authorized by law to take acknowledemertts is rtot essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B, 409} � Form 668 (Z) (Aev. �0-2000) <br />Part 1- RECORDING OFFICE CAT. NO 600267 <br />\7 <br />� <br />