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09/16/2005 09:29 FAX 14024714429 NEBRASKA UCC <br />H1` <br />200509135 <br />1872 Department of the Treasury - Internal Revenue Service <br />Form 668 (Z) <br />Fol n 2000, Certificate of Release of Federal Tax Lien <br />Area: Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (80o) 913 -6050 231226105 <br />I certify that the following -named taxpayer, under the requirements of section 6325 <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 13 <br />2005 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />JEFFREY GREENWALT <br />Residence4320 MANCHESTER <br />GRAND ISLAND, NE 68803 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 99053989838 200505364 <br />IM 002/002 <br />For Use by Kecordincl Uttice <br />Ur <br />IA <br />03151 PM <br />1.:. N,(. 1 �If � •� ��. .� � J 111777 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 , Total $ <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and sighed at ST PAUL, MN <br />the 07th day of September, 2005 <br />25770.65 <br />, on this, <br />Signature Title Director, Campus Compliance <br />f� Operations <br />.lWG.;J / l�•� <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of l <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 660 (Z) (Rev. 10 -2000) El/ <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <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 />Reflfing <br />of Assessment <br />(a) <br />(bl <br />, (al <br />(d) <br />(el - <br />(f) <br />940 <br />12/31/2004 <br />47- 0844115 <br />05/09/2005 <br />06/08/2015 <br />665.61 <br />941 <br />06/30/2004 <br />47- 0844115 <br />01/03/2005 <br />02/02/2015 <br />338.06 <br />941 <br />09/30/2004 <br />47- 0844115 <br />01/03/2005 <br />02/02/2015 <br />11414.37 <br />941 <br />12/31/2004 <br />47- 0844115 <br />05/09/2005 <br />06/08/2015 <br />13352.61 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 , Total $ <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and sighed at ST PAUL, MN <br />the 07th day of September, 2005 <br />25770.65 <br />, on this, <br />Signature Title Director, Campus Compliance <br />f� Operations <br />.lWG.;J / l�•� <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of l <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 660 (Z) (Rev. 10 -2000) El/ <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />