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08/26/2003 14:42 FAX 14024714429 NEBRASKA UCC IM 002/002 <br />1 <br />� a u v v ■ ■■ v a <br />Form 668 (Z) 5169 Department of the Treasury - Internal Revenue Service <br />(Rev. 10 -2000) Certificate of Release of Federal Tax Lien <br />Area: Serief Number <br />SMALL BUSINESS /SELF EMPLOYED AREA 49 <br />Lien Unit Phone. (651) 312 -8080 390370933 <br />1 certify that the folfowing• 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 0 6 <br />2003 <br />, is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />DHS BUILDERS INCORPORATED , a Corporation <br />Residence1004 DIERS AVE STE 300 <br />GRAND ISLAND, NE 688C3 -4962 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC�No. - Serial No. <br />2CO3 07157 - 9'03278961- 200307157 <br />Tax perio711 <br />Kind of Tax Ending <br />940 12/3.1/2002 <br />941 09/30/2002 <br />Place of Filing <br />For Use by Recordinq Cffice <br />200311370 <br />entifying Number <br />Date of <br />Assessment <br />Last Day for <br />Refiring <br />llnpafd Balance <br />of Assessment <br />(c! <br />(d) <br />(e) <br />(f) <br />47- 0845272 <br />03/24/2003 <br />04/23/2013 <br />995.95 <br />47- 0845272 <br />03/24/2003 <br />04-/23/2013 <br />888.04 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at Omaha, NE <br />the 02nd day of July 2043 <br />Signat4 f .. IL <br />f <br />Total !$ 1883.95 <br />, on this, <br />Title Compliance Technical Support <br />Manager <br />uuuiuncea uy iaw io iaKe acKnowieogments is not essential to the validity of Certificate of Release of <br />Federal Tax Ilen Rev. Rul. 71 -466, 1971 - 2 C.B. 4091 <br />Pan 1 _ RF[Y1Rrf1wr. nrprrc Form 666 (Z) (Rev. 10 -2030) <br />r <br />(d <br />