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r <br />I <br />06/07/2004 16:44 FAX 14024714429 NEBRASKA UCC <br />L All <br />5406 Depart met to the Treasury - Internal Revenue Service <br />Form 668 (z) Certificate of Release of Federal Tax Lien <br />(Rev. 10 -2000) -- <br />Serial Number "` SK of <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #9 150788904 <br />Lien Unit Phone: (651) 312 -8080 <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 FRIE 3N6 <br />additions has been released. The proper officer in the office where the notice of Filed: 0 <br />internal revenue tax lien was filed on January 20 <br />2004 _, is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />TODD W FRIESEN <br />Residence4134 W FAIDLEY <br />GRAND ISLAND, NE 68803 -3327 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />ST PAUL, MN <br />This notice was prepared and signed at <br />the 01st day of June , 2004 <br />Signature <br />4' <br />Q003/003 <br />2004 04:14 PM <br />200405656 <br />Last Day for <br />COURT <br />RECORDING INFORMATION: <br />Liber Page UCC Ncz- __,_ - - - -- - Serial <br />No. <br />2004 00537 •9104312_418 2004 -00537 <br />10/21/2008 <br />Tax reriod <br />06/27/2011 <br />Date of <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />(a) <br />(b) <br />(c) <br />1040 <br />12/31/1997 <br />506 -92 -6717 <br />09/21/1998 <br />1040 <br />12/31/2000 <br />506 -92 -6717 <br />05/28/2001 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />ST PAUL, MN <br />This notice was prepared and signed at <br />the 01st day of June , 2004 <br />Signature <br />4' <br />Q003/003 <br />2004 04:14 PM <br />200405656 <br />Last Day for <br />Unpaid Balance <br />Refiling <br />of Assessment <br />(e) <br />(f) <br />10/21/2008 <br />1936.32 <br />06/27/2011 <br />6427.98 <br />Total 1$ 8364.30 <br />, on this, <br />Title Compliance Technical support <br />Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the vauarty 01 Ue L-1-1- - -- <br />AnnX c... &An (7) iRav- 10 -2000) <br />