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�!f <br />03/22/2005 09:58 FAX 14Q24714,f29 NEBRASKA UCC Z 004 /006 <br />200502404 <br />Place of Filing <br />Register of Deeds <br />Hall POBOK 1692 - <br />Grand Island, NE 68802 --1692 <br />This notice was prepared and signed at <br />the 16th day of March <br />2005. <br />Omaha, NE <br />Total 1$ 5018.18 <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 666M(Z). (Rev. 10- 2000,) <br />_� Part 1 - RECORDING OFFICE, <br />1872 Department of the reasur "y - "Int rn °AL nue Service <br />Form 668 (z) <br />Certificate of Release of Federal Tax Lien <br />(Rev. 10-2000) <br />Area: <br />Serial Number <br />For Use by RecordinQ Office <br />SKALL BUSINESS /SELF EMPLOYED AREA ##9 <br />Lien Unit Phone: (651) 312 -8080 <br />390370788 <br />■[ set: e1 Slur - ueC TOe <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 June 04 <br />53 285-3 Pas! f <br />2003 , is authorized to note the books to show the release of this lien for <br />5TRTLER 6R1ty D <br />08/21/2005 03.09 PM <br />these taxes and additions. <br />Flied; <br />Name of Taxpayer <br />GARY D & LYNDA K STATLER <br />Residence 164 LYNN LN <br />GRAND ISLAND, NE 68801 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />2003 07049 200307049 <br />Tax Period <br />Date of <br />Last D for <br />Unpaid Balance <br />iGnd of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refs ng <br />of. Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/1998 <br />505 -44 -4814 <br />04/16/2001 <br />05/16/2011 <br />5018.18 <br />Place of Filing <br />Register of Deeds <br />Hall POBOK 1692 - <br />Grand Island, NE 68802 --1692 <br />This notice was prepared and signed at <br />the 16th day of March <br />2005. <br />Omaha, NE <br />Total 1$ 5018.18 <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 666M(Z). (Rev. 10- 2000,) <br />_� Part 1 - RECORDING OFFICE, <br />