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08/21/2003 16:49 FAX 14024714429 <br />!�Z <br />NEBRASKA UCC <br />la 002/002 <br />This notice was prepared and signed at _ <br />the 17th day of August 2003 <br />Omaha, NE <br />, on this, <br />- - <br />Signat Title Compliance Technical Support <br />. 1L• Manager - <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 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />I- <br />R <br />1008 Department of the Treasury - Internal Revenue Service <br />Form 666 (Z) <br />Certificate of Release of Federal Tax Lien <br />(Rev. IC-2000) <br />Area. <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />wt S.. as s +.�. - ucc rme <br />Lien Unit Phone: (651) 312 -8080 <br />479103253 <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 August 15 <br />32833w.ie0 -3 Pos : 1 <br />PRWOKE DEBRA J <br />1991 , is authorized to note the books to show the release of this lien for <br />Filed; M/21/2e03 03:35 PM <br />these taxes and additions. <br />Name of Taxpayer <br />DEBRA J PANKOKE <br />2-00311130 <br />ResidenceRT 1 BOX 220 <br />GRAND ISLAND, NE 68803 -9801 <br />COURT RECORDING INFORMATION:_ <br />Liber Page UCC No. Serial No. _. <br />n/a n/a n/a 91- 105325 <br />Tax Period <br />--viii of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />6672 <br />03/31/1989 <br />507 -94 -9424 <br />10/16/1989 <br />11/15/1999 <br />47247.48 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 47247 -48 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at _ <br />the 17th day of August 2003 <br />Omaha, NE <br />, on this, <br />- - <br />Signat Title Compliance Technical Support <br />. 1L• Manager - <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 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />I- <br />R <br />