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0/11/2001 11:43 FAX 14024714429 NEBRASKA UCC 1a003/006 <br />Form 668 Z o s Pea ury - Internal Rnnnus c• n¢ se. data - ucc c <br />� } �- 1 � �� � I I {1111 it {Il lull Ilill i {Il{ 11111 {111 i1 {i <br />(�� ,a,) Certifica e o se of a e�af Tax C 9901140764 Pas= 2 <br />80EKH DONRLO L <br />kttrlct arts um er f0. F i led 051 i 112001 10: K GM <br />Cv� 479001423 <br />I certify that as to the following -named taxpayer, the requirements of section 6325 (a) of thel <br />Internal Revenue Code have been satisfied for the taxes listed below and for all statutory <br />additions. Therefore, the lien provided by Code section 8321 for these taxes and additions has <br />f <br />been released. The proper officer in the office where the notice of internal revenue tax lien was <br />Red on May 2 . 1990 , is authorized to note the books to show the release of this flan for SEE ATTACHMENTS I <br />these taxes and additions. <br />q <br />Name of axpayer <br />a <br />DONALD L BOEKA <br />Residence 200104358 <br />1121 S EUGENE <br />GRAND ISLAND, NEBRASKA <br />Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance <br />Assessment Refiling of Assessment <br />(a} (b} (c) (d) (e) (f) <br />1040 12/31/80 505 -54 -3798 03/26/90 04/25/96 8,145.02 <br />1040 12/31/87 505 -54 -3798 03/26/90 04/25/96 5,457.57 <br />1040 12/31/88 505 -54 -3798 03/26/90 04/25/96 3,030.48 <br />Place of Filing ' \ <br />REGISTER OF DEEDS # 90- 102380 UCG #�Oi02.360 Total $16,633.07 <br />HALL COUNTY �i L ��► <br />GRAND ISLAND, NEBRASKA <br />This notice was prepared and signed at OMAHA, NEBRASKA , on this, <br />the 8 day of_ _MAY , <br />Christopher Ne4l` I I Revenue Officer <br />(NOTE, Cerffkeoer of Ofter au thotised bylaw to take acknowisdoemeno is not essen fat to fire validity of Ceroficete of Rr. )ease cf Ftdeml Tex Lien R.v. Md. 77.466, 1971 -2 C.B. 1090 <br />Form 66x(2) (Rev. 10 -1994) <br />r <br />