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Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />132012903 <br />For Use by Recording Office <br />NE <br />Sec <br />of <br />Slate <br />John <br />A Gale <br />• UCC <br />CRFTL <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 notice of <br />internal revenue tax lien was filed <br />on September 05 <br />2003 , is authorized to note <br />the books to show the release of this lien for <br />9913715844 <br />NELSON <br />JEFF <br />- 6 <br />R <br />Pss <br />1 <br />these taxes and additions. <br />Filed: 05/24/2013 12:40 PM <br />Name of Taxpayer <br />JEFF A & TONDA J NELSON <br />Residence 1521 W LOUISE ST <br />GRAND ISLAND, NE 68801 -6326 <br />2 0 1 3 0 41 7 ra <br />COURT REC RDING <br />INFORMATION: <br />Liber Page <br />o. Serial <br />No. <br />n/a 9903293065 -2 200311860 <br />Tax Period <br />— <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e <br />(f1 <br />1040 <br />12/31/1996 <br />XXX -XX -2371 <br />10/14/2002 <br />11/13/2012 <br />724.27 <br />1040 <br />12/31/1997 <br />XXX -XX -2371 <br />08/19/2002 <br />09/18/2012 <br />3815.19 <br />1040 <br />12/31/2000 <br />XXX -XX -2371 <br />05/2.8/2001 <br />06/27/2011 <br />807.22 <br />1040 <br />12/31/2002 <br />XXX -XX -2371 <br />06/02/2003 <br />07/02/2013 <br />327.34 <br />********************************* <br />e********* * * <br />* * * * * * * * * * * *s <br />* * * * * * * * * * * * * * ** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 5674.02 <br />Grand Island, NE 68802 -1692 <br />05/24/2013 FRI 15:15 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Form 668 (Z) <br />IRev. 10 -2000) <br />3595 <br />This notice was prepared and signed at <br />the <br />Signature <br />08th dayof May , 2013, <br />-.-4-. <br />Hall <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />2003/005 <br />'CHICAGO, IL , on this, <br />Title <br />Operations Manager, <br />Centralized Case Processing -Lien Uni <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 />