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. __- 20 � � t� 0372
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<br /> 59554 Department ot the Treasury - Internal Rev+enue Ssrvica
<br /> Form 668 tZ) Certifitate of Rel��e �o�R�ed �al"�"�C�.!$�'-"}`,Y�->,"� i ��: 1
<br /> iRev-9-e�l ��,. <�,�� ,i, ���,, R,i �f . � H� � iS',f7 i"�� ,'�I��r?�1 b,,,t
<br /> Seriaf 1�lurnber !� � '"" � R" : ' + :p POr l'1se.ib ;; e � � UfflCe
<br /> Di9triCt �,� , , s, ,, �r Y�
<br /> MIDWEBT ` �;3997�1��8�3�, 1 ��'; �`; ��,,� '�� .y'r, <<�
<br /> I Gs�rrity that as to the follnwiny-neme taxpavar,the reGulrementa of g�ation 6326 (a) „e ,,,. _�i S�A+•r- �"I "
<br /> pf the Intamai Rsvanue Cods hava b4Rn s�tisfied for the taxes li�ted bs!ow an� tor ��I������i���� {��,�I�y�y4��1��5�1��`�«
<br /> all statutory additions, Ttxsrefore, the lien provided bV CodQ aeotion 6321 for these � ���� 11 PeL +
<br /> taxaa end edditiana has beRn released. The pro er afffcsr in the offica where the �9��g1�94
<br /> P i�j eii Ld 4513/206G 0�•aa ar'�
<br /> rtotiGe of internal rBvenu�tax Ifen was filed on OCtC776�' 03 _
<br /> 19 9 7 , is in authoriae� to nota ths haoks to shaw the reloaz� of this lien far
<br /> these taxes ind �ddition9, ,
<br /> Name of 7axpaver �,ql,� A. SMITH
<br /> Reaidenae �47 N CLEBURI�T
<br /> vRAND I S�u�ND, NE 6$8 0 J.
<br /> COURT RECQRDING INF4RMAxIOPT:
<br /> Liber Page UCC Nc. Serial No, ��.�`-�,1���,�,�
<br /> r:fa n/a n/a 97-108244
<br /> 1ax Periad D�ta of Lasc D rtor Llnpaid �alana
<br /> KlnA of Tax Endin� Id�entifyins Number Ass4ssment Ref1�nS of bsesamenc
<br /> e (b! fcl IdJ fe �f�
<br /> 1D40 �,2./3y�1978 505-80-0866 lz/04/1957 12j04f1997 1358 . 04
<br /> 1040 1�/31/1979 505-84-Q866 l�,1�4/2987 12/p4/1957 865 .79
<br /> 1040 12�32/19$5 505-8+�-C�866 � �1/04/1.�87 12/04/1997 a757 •89
<br /> ***7Yia,asr *Ye**#�,t,r*ir ir**,aic*�r***7�ir,t �ir*�►***irrt�le+� '�'ff�4*,t�#*** �****ar,t*#*ir*�M,4wir
<br /> i�lace of Filin�
<br /> Register o� Deeds Tota� � Sg��.72
<br /> Hall POSOX 169�
<br /> Grand Island, �7E 68802-1692
<br /> Thie notice was p�epa��d Bl�id 5ign8d ei ���WAUK�E, WI , cn this,
<br /> the 2��h day of D�cembe!~ 1999
<br /> SignOture Titfe �
<br /> � M�Ilager
<br /> (NQT�: Certificate of etf�Car authw�zed by�aw to take acknowlsdgments is nat esaantlal to tha validity of Certifieate of Re�ease of
<br /> Pweiwrwl i 8:<I16�1 ReV.RUI 71-468, 1971 - 2 C.B.4Q81 Form 668(Z) lRev.8-9�� (�
<br /> t'/t''d Pare t •RHC�RDING QJOISI!��IQ �'�'1� Wdeti:b� 0�. �t hld!':�� 1�\�
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