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11/30/2000 13:43 FAX 14024714429 <br />NEBRASKA UCC <br />109 - e 19900099561 POs <br />Form 668 (Z) WAGONER THOMAS A <br />Cl;ed 1113012000 10:52 AM <br />Mffle Qh—r <br />(Rev. 10.2000) <br />Area: <br />`/Serial <br />se by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA ##9 <br />Lien Unit Phone: (414) 297 -3211 <br />399825290 <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 />1f 1 (� 0 `� 0 401, <br />internal revenue tax lien was filed on June 08 <br />V v <br />1998 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer THOMAS A WAGONER <br />Residence PO BOX 1585 <br />GRAND ISLAND, NE 68802 -1585 <br />COURT RECORDING INFORMATION: <br />_ <br />Liber Page UCC No. Serial No �. <br />-� <br />n a n a n/a 98 -10545 wj �� <br />Tax Period <br />�Refalllng for <br />unpaid Balance <br />)Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />of Assessment <br />(e) <br />(b) <br />(c) <br />(d) <br />(9) <br />M <br />1040 <br />12/31/1987 <br />506 -46 -0742 <br />05/23/1988 <br />06/22/1998 <br />5327.69 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />5327.69 <br />Grand Island, NE 68602 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 26th day, November 2000 <br />, on this, <br />Signature I Title Compliance Technical Support <br />Manager <br />(NOTE, Certificate of officer authorized by law to take acknowledgments is not essential to the vallditV of Certificate of Release of l)' <br />Federal Tax lien Rev. Rul. 71 -488, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part t . RECORDING OFFICE CAT, NO 600201 <br />