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<br /> <br /> <br />Form 668(Z) <br /> <br />69 <br /> <br />(Rev. April 1ll64) <br /> <br />l5'istrlct <br /> <br />Ornc>ha ~ I'~E <br /> <br />479200324 <br /> <br />I certify that as to the following-named taxpayer, the requirements of section 6325 <br />(a) of the Internal Revenue Code have been satlsfled for the taxes listed below and <br />for all statutory additions. Therefore, the lien provided by Code section 6321 for <br />these taxes and additions has been released. The proper ~ff1cer In the ~'1lce where <br />the notice of Internal revenue tax IIan was flied on '" anl~la"-y I <br />19 ~, Is authorized to note tha books to show the release of this lien for the:se <br />taxes and additions. <br /> <br />Name of Taxpayer R I CHARD Ivi ~( RADA J BACON <br /> <br />Residence <br /> <br />i 725 LPtli I (4 r LA~lE: <br />GRAND ISLAND, NE 68803-2222 <br /> <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. <br />n/rl n/A n/a <br /> <br />5eri",,1 No. <br />92-100302 <br /> <br />Kind of Tax <br />(11) <br /> <br />Tax Period <br />Ended <br />(b) <br /> <br />Identifying Numbdr <br />(c) <br /> <br />Da!e of <br />Assessment <br />(d) <br /> <br />l040 <br />1.0ifO <br />10<0 <br />-JI".lI"lI-lI-ll'-lI'*.lI.-j(.. <br /> <br />12/31/87 505-36-2622 05/30/88 <br />12/51/88 505-56-2622 06/12/8~ <br />12/31/89 505-36-2622 0~/28/qO <br />*********1************** )1--1(******* <br /> <br />Place of Filing <br /> <br />P~gistov' of Deeds <br />He.. 1 1 Cc.un t y <br />Gr0nd Island, NF 68801 <br /> <br />This certificate was prtlpared and signed at <br /> <br />Ulna.hi) , t~E <br /> <br />I "7.t 1- ,'),.. -. '" '1 p - ,"",- <br />the-' , I day of . ".'LEfTl:J."r ,19 7,_' <br /> <br />Last Day for <br />Raflllng <br />(.) <br /> <br />06/29/98 <br />07/12/9';1 <br />06/27/0(\ <br />'K"K"K"lI-'IH('-lI-'lI--lf" <br /> <br />Total <br /> <br />ien <br /> <br />93-1j.O~1.4 <br /> <br />Unpaid Balance <br />of As~ssm~!!t <br />(f) <br /> <br />83') _ T:; <br />:20b. Illj. <br />2480. 'IS <br />*****~************* <br /> <br />$ <br /> <br />:::.",;17.68 <br /> <br />I on this, <br /> <br /> <br />S;gn'lu':q~ b::J~-I:. <br /> <br /> <br />(NOTE: Cen"iCJle 01 otr,cer .wtllonzed by law to take acknowledgemenls IS not essential III the valIdIty 01 Cer/lllCillfI 01 Release 01 F&doral Tar Lien Rev. Rul, 7' 466. '971.2 <br />C.B. 409) <br /> <br />GA T. ~JO 6C026( <br /> <br />Ch i <?'f, !':~F'F <br /> <br />Form 668(Z) (Rev 4-84) <br />