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r- <br />__*__ <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />3595 De artment of the Treasur Internal Revenue Service <br />p y 201303059 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />459715808 , <br />For Use by Recording Office <br />NE <br />8913713166 <br />cOLL <br />Filed: <br />Sec of <br />INS <br />sea <br />DENNIS <br />04/17/2013 <br />a <br />Jahn <br />M <br />A Gale <br />09:09 <br />- <br />UCC <br />Pgs <br />AM <br />c RF <br />1 <br />I certify that the following <br />of the Internal Revenue <br />additions. Therefore, <br />additions has been <br />internal revenue tax <br />2008 , is authorized <br />-named taxpayer, <br />Code has <br />the lien provided <br />released. The <br />lien was filed <br />to note <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on August 07 <br />the books to show the release of this lien for <br />t <br />these taxes and additions. <br />Name of Taxpayer <br />DENNIS M & REBECCA A COLLINS <br />Residence 1900 W PEACH CIR <br />LINCOLN, NE 68522 -8719 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/ a 9908567873 -6 200806817 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />******************************************* <br />12/31/2005 <br />XXX -XX -4730 <br />09/18/2006 <br />* * <br />10/18/2016 <br />* ** * * * * * * * * ** <br />6203.75 <br />* * * * * * * * * * * * * * ** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 6203.75 <br />04/17/2013 WED 15:44 FAX 402 471 4429 UCC SECRETARY OF STATE <br />y y y <br />Hall <br />2003 /004 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />Signature <br />03rd day of April , 2013 <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 - RECORDING OFFICE CAT. NO 600261 <br />TL <br />