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11/30/2000 13:42 FAX 14024714429 NEBRASKA UCC <br />109 e <br />Form 668 (Z) Re, a <br />ttelT� `- <br />(Raw. 10-2000) eleasll <br />005/009 <br />Illll illll Dill 11111 IN Ill <br />4 +;A 9900099555 P9s <br />SEr? MACK BETTE JO <br />y' FtJad: 11130!2000 1C' 52 AM <br />Tax Lien <br />tj Area: - <br />Serial Number <br />For Use <br />b Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 <br />479105561 <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 proper officer in the office where the notice of <br />L <br />internal revenue tax lien was filed on December 02 <br />1991 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer DUDLEY G & BETTE JO MACK <br />Residence 1415 NEWCASTLE RD 111 <br />GRAND ISLAND, NE 68801 -7030 <br />COURT RECORDING INFO <br />`1A <br />Liber Page UCC No. Serial No. <br />n/a n/a n/a 91- 1Q8039 G <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Assessment <br />st D!�ayy for <br />Reming <br />unpaid Balance <br />of Assessment <br />(a) <br />(b) <br />(C) <br />(d) <br />(a) <br />(t) <br />1040 <br />12/31/1990 <br />526 -40 -5241 <br />11/25/1991 <br />12/25/2001 <br />7131.13 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />7131.13 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at Omaha, NE <br />the 26th da November 2000 <br />Y� _ <br />, on this, <br />Signature �f /err, f /���� 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 01 Release of <br />Federal Tax lien Ray. Rul. 71 -489, 1971 - 2 C.B. 409) <br />Part 1 - RECORDING OFFICE Form 668 (Z) (Rev. 10 -2000) <br />CAT. NO 600261 <br />