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04/16/2004 16:24 FAX 14024714429 NEBRASKA UCC /41006 /006 <br />200403811 <br />os <br />Form 668 (Z) 10 0 8 Department of the Treasury - Internal Revenue Service <br />(Rev. 10.2000) Certificate of Release of Federal Tax Lien <br />Area: Serial Number For Use <br />WAGE & INVESTMENT AREA #5 <br />Lien Unit Phone: (6 51} 312 -8060 390040773 <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 November 09 <br />2000 <br />, is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />DENNIS E NIES' <br />by Recordinq Office <br />Residence 312 6 GOLDENROD DR <br />GRAND ISLAND, <br />NE 68801 -8761 <br />COURT <br />RECORDING INFORMATION: <br />Liber Page UCC__ No . <br />Serial No. <br />n/a n /.a <4 00095388 -' 200009836 <br />Kind of Tax <br />Tax!Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Day for <br />Refiling <br />Unpaid Balance <br />of Assessment <br />(a) <br />(b) <br />(cl <br />(dl' <br />(el <br />(f) <br />1040 <br />12/31/1996 <br />106 -54 -1442 <br />05/19/1997 <br />06/18/2007 <br />5805.58 <br />i <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 5805.58 <br />Grand Island, NE 68802 -1692 <br />This notice was prepa4ed and signed at <br />the 14th day of April <br />2004, <br />Omaha, NE <br />, on this, <br />Signature �� a• 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 of Release of <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />