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h1LD 17 PrM n7� ?7CM 11 i— r' T )TST(1N <br />P P /1? <br />i ��l11i IIIII III14111�I I!!IIllllllli <br />109 D =H' t41, h r ee ®3s7 E Pes <br />Form 668 (Z) hRii.' bHIRLEY L00KRRD <br />03i1br2ooa o2,so aM <br />i+_.�Q <br />}�aitvd, <br />IRov. 8 971 �+�f ' �' 7 8'. iii ; e4, a.1 <br />District <br />T. :'F <br />Serial Num or <br />Fot'U6e b Fiecordin Office <br />Omaha <br />479402046 <br />1 certify that as to the following named taxpayer, the requirements of section 19325 lei <br />of the Internal Revenue Code have been satisfied for the taxes listed below and for <br />all statutory additions. Therefore, the lien provided by Code section 6321 for those <br />taxes and additions has been released, The proper officer in the offloe where the <br />notice of internal revenue taX lien was filed on July 06 _ <br />1994 , is in authorized to note the books to show the release of this lien for <br />these taxes and additions, <br />'200002105 <br />Name of Taxpayer SHIRLEY LOCKARD MACK <br />Residence 107 W 14TH <br />GRAND ISLAND, NE 68801 -3847 <br />COURT RECORQ� FORMATION: <br />Lyber Page UCC No. rial No. <br />n a n /a n a ` 94- 105804 <br />Tarr Pert <br />Date of <br />Last Day for <br />unpaid Balance <br />Kind of Tax <br />Ending <br />Identi amber <br />Assessment <br />Re li i <br />of Assessment <br />W <br />b <br />tol <br />(d) <br />(a) <br />f <br />6672 <br />03/31/1992 <br />505- 72--1481 <br />07/20/1992 <br />08/19/2002 <br />19110.66 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POSOX 1692 <br />19110.66 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at Onara, NE , on this, <br />the 28th day of February 2000 <br />Signature <br />Title <br />Manager <br />(NOM Certitiaate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of leiease of <br />Fedefal Tax lien Rev. Rul. 71 -4515, 1871 - 2 C.B. 409) Form 668 (Z) (Rev. 8 -87) <br />Part 1 - RECORDING OFFICl! CAT. N0 Annwti <br />