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10/19/2004 13:59 FAX 14024714429 <br />NEBRASKA UCC <br />200410243 <br />10003/004 <br />This notice was prepared and signed at <br />the 13th day of October 2004 <br />ST PAUL, MN <br />, on this, <br />Signature Title Director, Payment Compliance <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. 408) _ - -_ _ ___ __ Form 668 (Z) (Rev. 10 -2000) <br />1872 Dep a tr1 o _ . �a ! y nt a enue Service <br />Form 668 (Z) <br />Certificate of Release of Federal Tax Lien <br />(Rev. 10 -2000) <br />Area: Serial Number For Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 182645004 �•� •� state - ucc Tes <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 />1 <br />internal revenue tax lien was filed on July 3 0 9004355542 -1 Pe°' PREISENDORF PLUMBING 6 HTG INC <br />2004 , is authorized to note the books to show the release of this lien for Filed; le /1B /2004 04:45 PM <br />these taxes and additions. a Corporation <br />Name of Taxpayer <br />PREISENDORF PLUMBING & HTG INC <br />Residence PO BOX 1341 <br />GRAND ISLAND, NE 68802 -1341 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/a 4344409 -6 200407623 <br />Tax Period Date of Last Day for unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />(a) (b) (c) (d) (e) (f) <br />941 <br />12/31/2002 <br />47- 0688630 <br />09/08/2003 <br />10/08/2013 <br />2693.04 <br />941 <br />03/31/2003 <br />47- 0688630 <br />09/29/2003 <br />10/29/2013 <br />8614.82 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 11307.86 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 13th day of October 2004 <br />ST PAUL, MN <br />, on this, <br />Signature Title Director, Payment Compliance <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. 408) _ - -_ _ ___ __ Form 668 (Z) (Rev. 10 -2000) <br />