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10/z3/2012 TUE 14:24 <br />3592 <br />Form 6b8 (Z) <br />(Rev. 10•2000) <br />FAX 402 471 4429 UCC SECRETARY OF 5TATE ��� Hall <br />�003/004 <br />Department of the Treasury - Internal Revenue Service <br />Certi�cate of Release of �ederal Tax Lien <br />Area: Se�ial Number <br />SMALL BUSINESS/SELF EMPLOYED A1tSA #4 <br />Lien Unit Phone: (800) 913-6050 772069311 <br />t certify that the foifowing-named taxpeyer, under the requirements of section 6325 (a) <br />of the Intema! Revenue Code has satisfied the taxes listed b�low and al) statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officsr in the office inrhere the riotice of <br />internal revenue tax lien was filed on April 19 . <br />2 011 , is authorized t� note the 600ks to show the release of this lien for <br />these taxes and additions. " <br />Name ot i axpayer <br />SCOTT & KAREN GALUSHA <br />Residence 314 WAINWRIGIIT ST ' <br />GR.AND ISLAND, 13E 68801-8376 <br />C ORDING INFORMATION: <br />Liber Page C Nb. Serial No. <br />n/a a 9911659335-4 201102988 <br />.� • • .1, <br />�. �' � � <br />Kind of Tax <br />Date of Last Day for Unpaid Balance <br />Assessment Re�ting of �sssssmeeet <br />1040 12/31/2009 XXX-XX-1624 02/07/2011, 03/09/2021 � 4919.48 <br />,r***�*** ***�***�** �******�**�t�* *�******�* *,r*�*�r*�*,x** ****�x****�t*�**** <br />Place of Fling <br />Register o£ Deeds <br />Hall POBOX 1692 <br />Grand Isl,and, Y3E 68802-1692 <br />Total �$ 4 919 . 4 8 <br />This notice, was prepared and signed at <br />the lOth day of October <br />2012, <br />CHICAGO, IL <br />, on this, <br />Tit{e <br />Operations Manager, <br />Centralized Case Pr oce ss ing-Lien Unit <br />Signature ^ — �� <br />• . � <br />(NOTE: Certiticate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release ot <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409i Form 668 (Z) (Rev. 10-20001 <br />Part i- RECOItDING OFFICE CAT. NO 600261 <br />� , <br />, � <br />� �. ! <br />i <br />GflLUSHR KF�zrr� <br />Filed: 10/23/2012 11:19 A1� <br />