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04/23/2012 MON 15:48 FAX 402 471 4429 UCC SECRETARY OF STATE �-+y 8all <br />Form 668 (Z) <br />cee�. �o-2000i <br />�joo4/o05 <br />3592 <br />Department of the Treasury - Internal Revenue Service <br />Certi�cate of Release of Federal Tax Lien 2 012 0 3 2 2 7 <br />Area: ' Serial Number <br />SMALL BIISINESS/3ELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 646712310 <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has setisfied 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 afficer in the office where the notice of <br />internal revenue tax lien was filed on April 27 <br />2 010 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />JUDY A <br />Residence 4 019 LAN�CHOP LN , <br />GRAND ISLAND, NFs 68803-2905 <br />Liber <br />n/a <br />Kind of Tax <br />�ate of I Last Da�y for I of P �eB s m e nt <br />Asse�ment Refiling <br />.—, <br />1040 12/31/2002 XXX-XX-2447 10/29/2007 11/28/2017 22401.82 <br />1040 12/31/2003 XXX-XX-2447 10/29/2007 ].1/28/2017 22521.49 <br />1Q4Q 12/31/2004 XXX-XX-2447 10/29/2007 11/28/2017 2675.83 <br />***��r�*� *********�x **,�****�***** �r********�r *�*********,� *�r***t�r***�r***** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total � $ 47599 .14 <br />This notice was prepared and signed at <br />the 11th 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 acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Forrn 668 (Z) (Fiev. 10-2000) <br />Part 1- RECORDING OFFICE CAT. NO 600261 <br />COU ING. INF'ORMATION : <br />Ja2C No. Serial No. <br />9910625797-0 201002814 <br />NE Sec of S�ate Jehn N Gale - UCC CRFTL <br />9912690502-0 Pas: 1 <br />RITTFJ2 JUDY R <br />Flled: 04/23l2012 09:38 RM <br />`\, <br />� <br />