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08%08/2003 08:56 FAX 14024714429 NEBRASKA UCC <br />11 <br />5375 Department of the Treasury - Internal Revenue Service <br />Form 666 (Z) Certificate of Release of Federal Tax Lien <br />(Rev. 10 -2000) <br />Area: Serial Number <br />SMIL BUSIYESS /SELF EMPLOYED AREA 49 <br />Lien Unit Phone: 1651) 3' -2 -8080 399931854 <br />1 certify that the following -named taxpayer, under the requirements of section 3325 la) <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 Ma 2 5 <br />1999 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />LAvFRN E CLINE JR <br />Residence 24 07 SHERIDAN AVE <br />GRANS ISLPUTD, NE 68803 -1958 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a n/a 99- 105328 /t`' >. <br />Kind of Tax <br />940 1 <br />940 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />Place of Filing <br />Tax Period Date of <br />Ending ildentifying Number Assessment <br />12/31/1997 <br />12/31/1998 <br />03/3 =/1997 <br />06/30/1997 <br />09/30/199"1 <br />12/31/1997 <br />03/31/1998 <br />06/30/1998 <br />06/30/1998 <br />09/30%1998 <br />09/30/1998 <br />12/31/1998 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />47- 0797916 <br />(d) <br />03/23/1998 <br />04/19/1999 <br />12/29/1997 <br />12/29/1997 <br />12/29/1997 <br />03/30/1998 <br />12/07/1998 <br />12/14/1998 <br />02/01/1999 <br />11/30/199u <br />01/04/1999 <br />05/10/1999 <br />Register of Deeds <br />Hall p0BOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 04th day of A "gust <br />2003 <br />Omaha, NE <br />Use <br />CLI <br />Fil <br />Last Darr for <br />Refi ng <br />Ia 002,'002 <br />rdin <br />urc T= <br />Pal: 1 <br />AGO 33:51 014 <br />20031033%6 <br />04/22/2008 <br />05/19/2009 <br />01/28/2008 <br />01/28/2008 <br />01/28/2008 <br />04/29/2008 <br />01/06/2009 <br />01/13/2009 <br />03/03/2009 <br />I:/30/nos <br />02/03/2009 <br />06/09/2009 <br />Total 1$ <br />Unpaid Balance <br />of Assessment <br />49.41 <br />62.83 <br />94.11 <br />426.35 <br />102.64 <br />873.53 <br />432.68 <br />1757.00 <br />,!958.62 <br />1421.83 <br />7179.00 <br />, on this, <br />Title Compliance Technical Support <br />Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is no: essential to the vaLlCrty or I_eruncaie U ne+ceaa 1. <br />Federal Tax lien Rev. Ru'. 71 -466, 1971 - 2 C.B. 409) Form 666 (Z) %Rev. 10 -2000) <br />,._� ove- e%oniwe. r1FDr4r F. ,-,.T nin Anrl)Al <br />