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. . _.....„ , r---- P 1 , • • .,. 1---- 7 . . . 0. Form 668 1 DEPARTMENT OF THE TKASAJRY—INTERNAI REVENUE SERVICE ' For Optional Use By Recording Office . ..,(REV,—10-71) _ CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN . .. DISTRICT SERIAL NUMBER • 0382 . Cataba. Soinraidra. I hereby certify that as to the following-named taxpayer the requirements of Section 6325(o), Internal Revenue Code, have been satisfied with respect to the texas env- , rnerated,below, together with all statutory additions provided by Section 6321; and that the lien for such taxes and statutory additions has thereby been released. The • proper officer in the office where notice of-internal revenue tax lien was filed on , October 1, , 197_,5_,is hereby authorized to Make notation on his books to show the release of said lien,insofar as the lien relates to the follow ing taxes- NAME OF TAXPAYER Mart A. liattaateldt W$ . . RESIDENCE 1203 peat ZIA Street .. Grand Island* Nebrasita 68801 UNPAID BALANCE KIND OF TAX - TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT (a) (b) (c) (d) (e) • ,"- ' ' 942. 09-30-73 04-15-74 47-0485805 55.88 941 09-.30-74 05-05-75 14.7-0485805 59.02 r- . 7 (1fØ 88 88 .. i . I t 1 • I t . i . 1 1 , , PLACE OF FILING Register/of Deeds cI. Count',et 4% 4 TOTAL $114,90 GrandaaIanit - Nebraska 68801 .. I ...... ...:.) , - WITNESS my hand at 674-naha1 Nebraska ,on this, , .:7......: 7- — the rah day ofJanuary , 1976 --: SIGNATURE TITLE Do /54.4111E0a,--- • rs c`pc.Pl_iaPorceciur. — r-.e Offica (NOTE:Certificate of o authorized by law to take acknowledgments is not essential to the validity of Notice of Federal To Lien G.C.M. 26419,C.B. 1950=51,-125.) • -.,.. PART 3-To be used for recording purposes •- &. L..... L... . , r-, L _J . .