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11/27/2002 11:28 FAX 14024714429 NEBRASKA UCC 005/005 <br />� e l e I vi <br />109 D a o <br />Form 668 (Z) <br />r <br />Ce <br />(Rev. 10 -20001 <br />Area: Serial Number <br />v Recording Office <br />- <br />SMALL BUSINESS /SELF EMPLOYED AREA 49 ' w set e+ sials ucc Tos <br />Lien Unit Phone: (414} 297 -3211 390151021 <br />1 certify that the following -named taxpayer, under the requirernents 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 2902245210-2 PCs: z <br />DREISBRCHS STEAKHOUSE INC, R C <br />internal revenue tax lien was filed on October 30 Filed: <br />1112712802 09:48 AM <br />2 0 0l _, is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Narne of Taxpayer <br />DR3ISBACHS STEAKHOUSE INC , a Corporation <br />200213209 <br />Residence 113 7 S LOCUST ST <br />GRAND ISLAND, NE 68801 -6771 <br />COURT RECORDING INFORMATION: <br />Liber Page No. Serial No. <br />n/a n/a 9901175075 -6 ) 0200111109 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reflmg <br />of Assessment <br />(a) <br />(b) <br />(c/ <br />(d) <br />(e) <br />M <br />941 <br />12/31/1999 <br />47- 0530472 <br />07/31/2000 <br />08/30 /2010 <br />5512.47 <br />941 <br />03%31/2000 <br />47- 0530472 <br />06/12/2000 <br />07/12/2010 <br />3558.96 <br />941 <br />06/30/2000 <br />47- 0530472 <br />09/04/2000 <br />10/04/2010 <br />704.87 <br />941 <br />03/31/2001 <br />47- 0530472 <br />06/18/2001 <br />07/16/2011 <br />26946.32 <br />941 <br />06/30/2001 <br />47- 0530472 <br />09/03/2001 <br />10/03/2011 <br />24600.63 <br />Place of Filing Register of Deeds <br />Hall POBOX 1692 Total <br />$ 61323.25 <br />Grand island, 1✓E 68902 -1692 <br />This notice was prepared and signed at <br />t!1e 2 2nd J day of November 2002 <br />MILWAUKEE, WI <br />, on this, <br />Signature Title Compliance Technical Support: <br />,r- Manager <br />(NOTE: Certi icate of officer authorized by law to take acknowledgments is not essertial 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 -20001 <br />Part f - RECORDING OFFICE CAT. No 600261 <br />