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04/27/2004 14:11 FAX 14024714429 <br />NEBRASKA UCC 200404162 Q 002 /003 <br />This notice was prepared and signed at <br />the 21st day of Apr_ a1 <br />2004 <br />Omaha, NE <br />, on this, <br />Signature Title Compliance Technical Support <br />` 41 ` ' � k .:M, Manager <br />(Nutt: 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 1 - RECORDING OFFICE CAT. NO 600261 <br />1008 Department OC the- Treawry,_ hterrral Revenue Service <br />Form 668 (Z) <br />Certificate of Release of Federal Tax Lien <br />IRev. 10 -2000) <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA 49 <br />Lien Unit Phone: (651) 312-8080, <br />390149970 <br />WE ire M ii4ir -UCC TM <br />I 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 September 25 <br />2001 , is authorized to note the books to show the release of this lien for <br />99G 2_0 Ps °' 1 <br />these taxes and additions. <br />Filed: W266/R20H04 03:48 PM <br />Name of Taxpayer <br />MARK L & DEBORAH J LEMBURG <br />Residence 14419 W. AIRPORT ROAD <br />CAIRO, NE 68824 <br />COURT RECORDING INFORMATION: <br />Liber Page UC - Serial No. <br />n/a n/ 99011680#2 -2 0200109720 <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 />Refi ing <br />of Assessment <br />(a) <br />W <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/1996 <br />506 -88 -5328 <br />09/22/1997 <br />10/22/2007 <br />4071.26 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 4071.26 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 21st day of Apr_ a1 <br />2004 <br />Omaha, NE <br />, on this, <br />Signature Title Compliance Technical Support <br />` 41 ` ' � k .:M, Manager <br />(Nutt: 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 1 - RECORDING OFFICE CAT. NO 600261 <br />