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06/18/2012 MON 15:12 FAx 402 471 4429 UCC 5ECRETARY OF ST�S ��y Hall <br />�j 14515 :Department�of the Treasury - Internal Revenue Service <br />Form 668 (Z) Cer�tifitate of Refease of Federal Tax Lien <br />tRe�. �a2000� . � <br />Area; ' Serial Number <br />WAGE & INVE�TM$NT AREA #2 <br />Lien Unit Phone (800) 913-6050 725746010 <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of tF�e Intemal Revenue Code has satisfied the tazes fisted below and all statutory <br />additions. Theretore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notioe of <br />irtternal revenue tax lien was filed on December 09 � <br />2 O l 0 , is authorized to note tfie books to show the release of this lien for � <br />these taxes and additior�s. <br />Name of Taxpayer <br />SCOTT A RTDWINE <br />201204908 <br />Residence 4152 HAR.TFORD ST <br />GR�1�TD ISLAND, NE 68803-2255 <br />COURT REGORDING INFORMATION: <br />�.-• <br />Liber Page UCC No. Serial No. ' <br />n/a n/a 9910645044+-9 201009208 � <br />Tau Period '� �� Date of Last Da�y far <br />Kind of Tax Ending ldentifjring Number Assessment Refiling <br />llnpaid Balance <br />of Assessment <br />�ooa/oo4 <br />1040 12/31/2003 XXX-XX-0755 08/04/2008 09/03/2018 •11556.86 <br />1040 �12/31/2006 NXX-XX-0755 08/10/2009 09/09/2U7:9 5778.01 <br />1040 12/31/2007 XXX-XX-0755 05f10/2010 06/09/2020 5872.99 <br />**��t**�,� �*�*,�***�* *�,t*�******�* �,���r�r**�t** ***�r�,x**�*** �r******�r*�****t* <br />Place of Filing �� <br />Registe���of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and sign�d.at <br />the 06th day of June , 2012 <br />Total �$ 23207.86 <br />CHICAGO, IL <br />Signature ^ _ � <br />• . � <br />, on this, <br />, <br />Title <br />Operations Manager, `�� , <br />Ce n t ralized Case Process IInit`� <br />(NOTE: Certificete of offlcer authorized by law to take acknowledgments is not essential to the velidity of Certificate of Release ot �• <br />Federal Tax lien Rev, Rul. 71-466, t 971 - 2 C.6..4U9} Form 668 (Z) lRev. t 0-2000) � <br />part 1- RECORDING OFk7CE CAT. NO 600261 ` <br />