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12/14/2004 17:53 FAX 14024714429 . i� NEBRASKA UCC 18'/ 2 Departmdrrf tff ttf Try - rftel'n v nue Service Form 668 (Z) Certificate of Release of Federal Taut Lien (Rev. 10 -2000) IM 005/008 Area: Serial Number For Use by Recording Office SMALL BUSINESS /SELF EMPLOYED AREA #9 Lien Unit Phone: (651) 312 -8060 390256746 s C or s4.i. - ucc rN I certify that the following -named taxpayer, under the requirements of section 6325 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on May 14 99@43558 Pas: 1 2002 , is authorized to note the books to show the release of this lien for DREISBRCHS STEAKHOUSE INC, A C Filed: 12/14/2004 03:00 PM these taxes and additions. Name of Taxpayer DREISBACHS STEAKHOUSE INC„ a Corporation 20041;013 Residence1137 S LOCUST ST GRAND ISLAND, NE 68801 -6771 COURT RECORDING INFORMATION: Liber Page UC. No-..-._� Serial No. n/a n/a =99 214975 -4 00205154 Tax Period~ Date of Last Darr for unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (al (b) (C) (d) (e) (f) 941 09/30/2001 47- 0530472 12/24/2001 01/23/2012 11064.67 Place of Filing Register of Deeds Hall POBOX 1692 Total $ 11064.67 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 08th day of December 2004 Omaha, NE , on this, Signature 1�" I Title Director, Payment Compliance (NOTE: Certificate of officer authorized by,law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) Part f . RECORDING OFFICE rnT Kin Rnn9r"!