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04/07/2004 09:01 FAX 14024714429 NEBRASKA UCC <br />i <br />U004/004 <br />200403388 <br />1008 Department of the Treasury - Internal Revenue Service <br />(Rev. 10 -20000) 0) <br />Form G (z) Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />� soe a st.i. - ucc tee <br />Lien Unit Phone: (651) 312 -8080 <br />139551003 <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 />Pas: 1 <br />99 <br />internal revenue tax lien was filed on October 23 <br />S BOWL ENTERPRISES INC, R <br />04108!2004 04:00 PM <br />2003 , is authorized to note the books to show the release of this lien for <br />Filed: <br />these taxes and additions. <br />Name of Taxpayer <br />SUPER BOWL ENTERPRISES INC a Corporation <br />Residence 1010 E BISMARK RD <br />GRAND ISLAND, NE 68801 -8126 <br />COURT RECORDING INFORMATION: <br />_ <br />Liber Page U --- Serial No. <br />2003 1406 9903300424- 003- -14063 <br />Tax Period <br />Date 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 />(al <br />(b) <br />(C) <br />(d) <br />(e) <br />(f) <br />941. <br />06/30/2002 <br />47- 0727144 <br />12/16/2002 <br />01/15/2013 <br />452.33 <br />941 <br />09/30/2002 <br />47- 0727144 <br />12/30/2002 <br />01/29/2013 <br />1 11000.17 <br />941 <br />12/3.1/2002 <br />47- 0727144 <br />07/28/2003 <br />08/27/2013 <br />19053.55 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 30506.05 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 31st day of March <br />2004 <br />ST PAUL, MN <br />, on this, <br />■ <br />Signature • -Y ,� I Title Compliance Techni. cal Support <br />�• e ;; EL a. Mena er <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) Form 668 (Z) (Rev. 10 -2000) <br />Part f - RECORDING OFFICE CAT. NO 600261 <br />