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10/17/2012 WLD 15:08 FAx 402 471 4429 UCC SBCRSTARY OF STATE �y� Hall <br />�004/004 <br />3592 Department of the Treasury - Internal Revenue Service <br />Form 668 (Z) <br />,Re�. ,aZa�, Certi�cate of Reiease of �ederai Yax i.ien <br />Area: <br />SMALL BIISINESS/SELF �LOYED AREA #4 <br />Lien U Pho ( 800) 913-6050 <br />Serial Number <br />363059107 <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal 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 �otice of <br />internal revenue tax lien was filed on August 16 <br />2 0 0 7 , is authorized to note the books to show the �elease of this lien for <br />these taxes and additions. <br />Name of Taxpaye� <br />JAY B JIIDDS <br />�4�.���692 <br />NE Sec ef Slaia Jehn R Gele - UCC CRRTL <br />9912701242-2 Pss: 1 <br />JUDDS JiiY B <br />Filed: 10/17/2012 10:57 AM <br />Residence2735 BRENTWOOD BLVD <br />GRAND ISLAND, NE�68801-7272 <br />COiJRT RECORDING INFORMATION: <br />Liber Page II Serial No. <br />n/a n/a 9907521719 �200707047 <br />Tax Period <br />Kind of Tax Eading <br />Date of I Last Day fo� I linpaid Balance <br />Assessment Refiling of /�sessroent <br />1040 I12/31/2003� XXX-XX-6893 I12/18/2006I O1/17/2017 � 29985.91 <br />**,�*****fx*******,�** *,�***���r*****�k*�r*�**,r�x***I*�r**x�******* ***�x��*�***�r**** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE <br />68802-1692 <br />Total �$ 29985.91 <br />This notice was prepared and signed at <br />the 03rd day of October <br />CHICAGO, IL , on this, <br />2012 <br />Signature ��� <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) Form 668 (Z) (Rev. 10-2000► <br />Part 1- ttECO1tDING OFPICE CAT. NO 600261 � <br />