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<br /> rotm ee9 aERARTMENT OF THE TREASURY 11(U,I110LR•4,EHUIj'SERYICQe For Optional Use By/Ieterdiny 011ice
<br /> in .12.74l ' CERTIFICATE OF RELEASE.OF FEDERAL TAX LIEN '
<br /> DISTRICT SERIALNUMBER '
<br /> I hereby certify that as to the following•named taxpayer the requirements of Section
<br /> ■ C 6325(a),'Internal Revenue Code,have been satisfied With respect to the'taxes..enu"
<br /> ',f merated below,together with all statutory additions provided.by Section 6321:and
<br /> {,that the,lien for such taxes and statutory additions has thereby been released. The
<br /> i,4a proper officer in:the office where notice of internal revenue tax lien was filed on
<br /> tr a . November 4
<br /> .19, 7.)1s hereby authotitedxo make notation
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<br /> on his books to show the release of said lien,insofar as the lien relates to'the follow.
<br /> s,; log taxes:
<br /> NAME OF TAXPAYERJew �tl 41 •.,7t
<br /> in.. , . ..5',',RESIDENCE
<br /> .i - UNPAID BALANCE
<br /> ® KIND OF TAX' TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
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<br /> tel (b) (cl Id) lei
<br /> 941 09-3073 t_2 74 • 47-042967 +3,
<br /> k • 940 - 12‘-313 r —75 47001542967 • 10.E
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<br /> 941 09a 3.44 06--30-75 47-0542967, 614
<br /> 941 12032.-74 { 3 5 47.-4542967 " 7 +37'
<br /> III A/�
<br /> ' 3' 940 ' 3. -►317�r 5 47-pS967 �.C'
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<br /> . „ . iiiiiiiiiipipmP-7
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<br /> PLACE OF FILING Register o. De;,.N dL
<br /> 1 - '',%. '.Caou1ntjf O iiiaTOTAL $ 1,47 .84
<br /> Grand X 1azkd, flebraaka 681301
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<br /> WITNESS my hand at ' Oinaha7 i;ebraska ,on this
<br /> the'3rd day of February fg 76
<br /> SIGNATURE r/s� �y"+_ TITLE -
<br /> Dona d J. Eh s ,
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<br /> Sr)ecial Procedures Officer
<br /> 9 (NOTE:.Certificate'of officer authorized by law to take acknowledgments is not essential to the validity of Notice of Federal Tek Lien G.C.M,
<br /> 20419,C.U,1050-1,-125.1:-. -
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<br /> PART 3=To be used lot recording purposes
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