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03'13/2001 14:25 FAX 14024714429 NEBRASKA UCC <br />-� Form 666 (Z) 90 rt ' n o Mal rRie <br />(Rev. 10 -2000) � ' -19 Area: Serial Number <br />WAGE & INVESTMENT AREA #5 <br />Lien Unit Phone: (414) 297 -321! 390141913 <br />1 certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided! by Code section 6321 for these taxes and <br />additions has been released, The prober officer in the office where the notice of <br />internal revenue tax lien was filed on January 17 <br />2001 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />EDNA R HOBSON <br />Z003 <br />2oo1o8i23 <br />Residence 10 2 7 E B I SMARK RD <br />GRAND ISLAND, <br />NE 158801 -6102 <br />CO <br />ORDING INFORMATION: <br />Liber Page UC No. <br />Serial No. <br />n/a n/a 9 01109626 200100477 <br />Kind of Tax <br />Tax Pe <br />.End <br />identifying Number <br />Date of <br />Assessment <br />Last Da�yy for <br />Reming <br />Unpaid Balance <br />(a) <br />(b) <br />(C) <br />(d) <br />(e) <br />of Assessment <br />1040 <br />12/31/1997 <br />- - <br />513 -60 -225 <br />02/07/2000 <br />03/09/2010 <br />(f) <br />5224.02 <br />Place of Filing Register of Aeeds <br />Hall FOBOX 1692 Total $ 5224.02 <br />Grand Island, NE 66802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />on this, <br />the 08th day of August 2001 <br />Signature Title Compliance Technical Support <br />Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 409) <br />Part 1 - KECORDING OFFICE Form 661) (Z) (Rev. 10 -2000) <br />CAT. NO 600261 <br />- Aa <br />