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12/14/2004 17:51 FAX 14024714429 <br />ff <br />, <br />Z. <br />NEBRASKA UCC <br />.o.n a Em- C AV%i C <br />Q003/008 <br />This notice was prepared and signed at <br />the 08th day of December 1 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. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part t - RECORDING OFFICE rAr nin ann9ri <br />1872 Depa t o I'Myr)"a"I'd-Ir'71- nternal avenue Service <br />Form 668 (Z) <br />Certif cate of Release of Federal Tax Lien <br />(Rev. 10 -2000) <br />Area: <br />Serial Number <br />For Use by Recording Office <br />Tss <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone; (651) 312 -8060 <br />129107403 <br />nrt 5" ucc <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 August 19 <br />9904365814 -0 POs: f <br />p C <br />2003 , is authorized to note the books to show the release of this lien for <br />�ied: 12 14 2W 003:00NPM <br />these taxes and additions. <br />Name of Taxpayer <br />DREISBACHS STEAKHOUSE INC a Corporation <br />200412010 <br />Residence 1.13 7 S LOCUST ST <br />GRAND ISLAND, NE 68801 -6771 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />2003 n/a .,_990-3 -2 -50507 777) 10884 <br />Ia`x`P'iifiid__ <br />^~ <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f! <br />940 <br />12/31/2000 <br />47- 05304'/2 <br />03/12/2001 <br />04/11/2011 <br />940 <br />12/31/2000 <br />47- 0530472 <br />06/02/2003 <br />07/02/2013 <br />690.62 <br />Place of Filing <br />Register.of Deeds <br />Hall PCBOX 1692 Total <br />$ 690.62 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 08th day of December 1 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. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part t - RECORDING OFFICE rAr nin ann9ri <br />