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* - <br />Form 668 (Z) <br />(Rev. 10 -20001 <br />3758 Department of the Treasury - Internal Revenue Service 7 4 <br />"' v <br />Certificate of Release of Federal Tax Lien <br />Area: <br />WAGE & INVESTNIENT AREA #2 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />475160008 <br />For Use by Recording Office <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />ma s.= -• 1 4•+• Jahn Allele - UGC GeFTI. <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 />� <br />I II <br />internal revenue tax lien was filed <br />.on October 01 <br />1 <br />1 <br />2008 is authorized <br />to note <br />the books to show the release of this lien for <br />9913722598 <br />-2 <br />1 <br />, <br />P9s: <br />these taxes and additions. <br />COTTON ANTHONY <br />Filed: eg111l26i3 01:44 pm <br />Name of Taxpayer . <br />ANTHONY COTTON <br />Residence 3111 COLLEGE ST APT 117 <br />GRAND ISLAND, NE 68803 - 1729 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/a 9908572229 -8 200808392 <br />• <br />Tax Period <br />Date of <br />Last Dayy for <br />Unpaid Balance • <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Rlefiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2002 <br />XXX -XX -6525 <br />12/22/2003 <br />01/21/2014 <br />2560.79 <br />1040 <br />12/31/2004 <br />XXX -XX -6525 <br />04/09/2007 <br />05/09/2017 <br />1227.48 <br />1040 <br />12/31/2005 <br />XXX -XX -6525 <br />02/04/2008 <br />03/06/2018 <br />17918.55 <br />********************************* <br />t************* <br />** ** ** *** * <br />*** * * *srsr,r**** * *,t* <br />• <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 21706.82 <br />Grand Island, NE 68802 -1692 <br />Sep. 11. 2013 3:26PM NE Secretary of State — UCC <br />No, 0871 P. 2/6 <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />the <br />Signature <br />28th day of August <br />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. 71466, 1971 - 2 C.B. 409) Form 660 (Z) IRev. 10 <br />• Part I - RECORDING OFFICE reT 1111 ann7a1 <br />