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05/16/2013 THU 15:13 FAX 402 471 4429 UCC SECRETARY OF STATE <br />( 14 <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />3595 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #3 <br />Lien Unit Phone: (800) 913 - 6050 <br />1 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 notice of <br />internal revenue tax lien was filed on August 04 <br />• <br />2010 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />DAVID R & BRENDA K ASTRONES <br />Residence PO BOX 213 <br />DONIPHAN, NE 68832 <br />COURT RECORDING INFORMATION: <br />Liber Page U Serial No. <br />n/a n/a 910633865 201005501 <br />the <br />Kind of Tax <br />(a) <br />1040 <br />* * * * * * ** <br />Place of Filing <br />Signature <br />Tax Period <br />Ending <br />(b) <br />12/31/2002 <br />* * * * * * * * ** ** <br />01st day of May <br />Identifying Number <br />(c) <br />XXX -XX -8967 <br />* * * * * * * * * * * ** <br />Serial Number <br />682151310 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />2013, <br />y y y <br />Hall 0004 /004 <br />201303920 <br />For Use by Recording Office <br />NE Sec of Stale John A Gale - UCC CRFTL <br />9 913715289 -8 Pas: 1 <br />ASTRONES BRENDA K <br />Filed: 05/16/2013 10:56 AM <br />Date of Last Dayy for <br />Assessment Refiling <br />(d) (e) (f) <br />02/07/2005 03/09/2015 5626.87 <br />Unpaid Balance <br />of Assessment <br />N * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />Total $ 5626.87 <br />This notice was prepared and signed at CHICAGO, IL <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. 4091 Form 668 (Z) (Rev. 10-2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />, on this, <br />• <br />Title <br />Operations Manager, <br />Centralized Case Processing -Lien Unit <br />