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11/30/2000 13:41 FAX 14024714429 <br />NEBRASKA UCC <br />003/009 <br />Form 6a8 Z � <br />109 tt'r ' e t ' . t T as r n er ' I v <br />._� <br />.,�. <br />tirA Ice <br />'. <br />iRev. 10.20001 <br />e a <br />Len <br />Area: �` - <br />Serial Number <br />For Use by <br />Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone; (414) 297 -3211 <br />479400932 <br />r <br />P'C <br />I certify that the following -named taxpayer, under the requirements of section 8325 (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 proper officer in the office where the notice of <br />internal revenue tax lien was filed on April 04 <br />1994 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />20 <br />LJ <br />�i <br />O 0 o� 9 <br />Name Taxpayer THOMAS <br />of A WAGONER <br />Residence PO BOX 1565 <br />GRAND ISLAND, NE 68802 -1585 <br />COURT RECORDING INF T <br />Tiber Page UCC No. Serial <br />n/a n a n/a 94 -10271 <br />Tax Period <br />to of <br />Dar�rr for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />fa! <br />(b1 <br />(c) <br />(d) <br />(a) <br />IV <br />1040 <br />12/31/1987 <br />506 -46 -0742 <br />05/23/1988 <br />06/22/1998 <br />5077.69 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />5077.69 <br />Grand Island, NE 66802 -1692 <br />This notice was prepared and signed at Omaha, NE <br />, on this, <br />the 26th day of November 2000 <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. qul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />C <br />��E <br />