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11/30/2000 13:44 FAX 14024714429 <br />XTVMDAC•RA Tlnl <br />r'A^ <br />`�' Illlllll11111111111�11111111�IIIIII <br />-y u <br />- - * -- Pas 1 <br />9 <br />109 •. 131 8 r BORER H JR <br />Form 668 (Z) 11/30/2000 10 52 FPM <br />:BERNARD <br />Ce ClC(led: <br />(Rev. 10.20001 ,� n: L <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 <br />479503040 <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 />internal revenue tax lien was filed on December 01 <br />1995 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />200010405" <br />Name of Taxpayer BERNARD H BORER JR <br />Residence 4618 W 13TH <br />GRAND ISLAND, NE 68803 -2819 <br />COURT RECORDING INFORMATION:_ <br />Liber Page UCC No. Serial No� <br />n/a n/a n/a 95- 108237 01 <br />Tax Period <br />ate of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />W <br />(c) <br />(d) <br />(a) <br />(V <br />1040 <br />12/31/1988 <br />505 -64 -1785 <br />09/04/1995 <br />10/04/2005 <br />877.34 <br />1040 <br />12/31/1989 <br />505 -64 -1785 <br />10/09/1995 <br />11/08/2005 <br />11865.47 <br />104E <br />12/31/1990 <br />505 -64 -1785 <br />10/09/1995 <br />11/08/2005 <br />7618.34 <br />1040 <br />12/31/1991 <br />505 -64 -1785 <br />10/09/1995 <br />11/06/2005 <br />2350.84 <br />1040 <br />12/31/1992 <br />505 -64 -1785 <br />11/13/1995 <br />12/13/2005 <br />9961.66 <br />Place of Filing <br />Register of Deeds Total <br />$ <br />Hall POBOX 1692 <br />32673.65 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at Omaha, NE <br />the 22nd day of November 2000 <br />, on this, <br />Signature lei, Title Compliance Technical Support <br />L , a;�,r Manager <br />w.r• 4 <br />(NOTE! Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Releme of <br />Federal Tax Nen Rev. Rul. 71.466, 1971 - 2 C.B. 409) Form 666 (Z) (Rev. 10- 2000) . <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />