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Form 668 (Z) <br />(Rev. 10-2000) <br />3592 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA # <br />Lien Unit Phone: (800) 913 - 6050 <br />Serial Number <br />566824509 <br />For Use by Recording Office <br />201211154 <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 />NE Sec of S+a2e John A Gale - UCC CRF <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 notice of <br />internal revenue tax lien was filed <br />on July 28 <br />2009 , is authorized <br />to note <br />the books to show the release of this lien for <br />these taxes and additions. <br />9912 705403 - 8 <br />RASMUSSEN BARBARA Pes: 1 <br />Filed; 12/28/2012 12:27 PM <br />Name of Taxpayer <br />DONALD & BARBARA RASMUSSEN <br />Residence 3606 AVENUE L <br />KEARNEY, NE 68847 -3271 <br />COURT RECORDING <br />INFORMATION: <br />Liber Page <br />UeC"1 o. Serial <br />No. <br />n/a 7 rr7' 9909603279 -3 200906224 <br />TaPeriod_ ----' <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refilling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2003 <br />XXX -XX -4005 <br />05/11/2009 <br />06/10/2019 <br />835.49 <br />1040 <br />12/31/2004 <br />XXX -XX -4005 <br />07/02/2007 <br />08/01/2017 <br />3180.51 <br />1040 <br />12/31/2005 <br />XXX -XX -4005 <br />08/06/2007 <br />09/05/2017 <br />16523.34 <br />1040 <br />12/31/2006 <br />XXX -XX -4005 <br />05/28/2007 <br />06/27/2017 <br />1589.57 <br />*** * * * * * <br />* * * * * * * * * * * * <br />* * * * * * * * * * * **. <br />********* *** <br />* * **** * * * * **** <br />* ** ** * * ** * * *** <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 22128.91 <br />Grand Island, NE 68802 -1692 <br />12/28/2012 FRI 14:48 FAX 402 471 4429 UCC SECRETARY OF STATE <br />the <br />Signature <br />12th day of December , 2012 <br />y yy <br />Hall <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 I - RECORDING OFFICE CAT. NO 600261 <br />(2002/002 <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />Title <br />Operations Manager, <br />Centralized Case Processing -Lien Unit <br />TL <br />