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• .,, r ,' <br /> . •aT- <br /> Form 668 DEPARTMENT OF THE TREASURY-,INTERNAL REVENUE SERVICE For Optional lite By Recording Once <br /> t (REV.10.71) CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN <br /> 'E DISTRICT; <br /> ,,.'' I I hereby certify that as to the following•nomed.taxpoler the requirements of Section <br /> 6325(a), Internal Revenue Code, hove been.satisfied with respect to the taxes enu• • <br /> meroted 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 /> pro er of&cec in the office where notice of Internal revenue lox lien was filed on <br /> € .- �ruarv.. 1S 76 `,is hereby authorized to nioke notation <br /> U t on his books to show the release of said lien,insofar as the lien relates to the follow. <br /> t <br /> NAME OF TAXPAYER <br /> tarter z a Cttio Uuf ! <br /> z' RESIDENCE ,27 � ng r $ treat <br /> - <br /> ® Graumd 1slavad;, N411%rat4oe 444h11 . <br /> ,,• <br /> UNPAID BALANCE <br /> KIND OF TAX TAX PERIOD_ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT, . <br /> r'( (a) (B) (c) (d) (e) <br /> t, 1040 12X31-73' 10-13-.75 506..22-40S7. <br /> 104 12-31-74 05..26-75 506-22..40$7. 1753.70„` <br /> i <br /> ; <br /> • <br /> .‘, _ .„',......iiiiiiiiiiillil• .. <br /> PLACE OF FILING Register of,-Deeds <br /> County Of Fu.3, TOTAL $ 265546 <br /> Grand -Island. $auras 68$01 <br /> 6 , . ..7 ,WITNESS my hand at Omaha, Nebraska ,an this, <br /> the!.`5th .day ofFebruary ,1975 <br /> , SIGNATURE TITLE <br /> Do old a .f,er special Procedures Officer <br /> {NOTE:Certificate'of a: r authorized by law to take ocknowledgments it not to the validity of Notice of Federal Tax Lien G.C.M. <br /> 26419,C.B.1950-51,125.1 • <br /> PART 3-To be used for recording purposes <br /> t•. <br /> )S t r <br />