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i <br />10/03!2003 15:03 FAX 14024714429 NEBRASKA UCC <br />i M � i mo <br />2003 <br />This notice was prepared and signed at <br />the 28th day of Septemher, 2003 <br />Omaha, NE <br />, on this, <br />Signature Title Compliance Technical Support <br />Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Faderal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE .-.,T warn cnnga1 <br />03 <br />1008 Department of the Treasury - Internal Revenue Service <br />2 0 0 313 3 <br />Form 668 (Z) <br />Certificate of Release of Federal Tax Lien <br />(Ruv. 10 -�000) <br />Area: <br />Serial Number <br />For Use by <br />Recording Office <br />ee :...# s+.4. - UCC fN <br />FAGS & INVESTMENT AREA 05 <br />Lien Unit'Phone: (651) 312 -8080 <br />479401480 <br />I certify that the following -named taxpayer, under the requirements of section 6325 (e) <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 />9Bi37873B3 -B as: f <br />internal revenue tax lien was filed on May 11 <br />JEWELL G001b2B03 04:28 PM <br />1994 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />GERALD uEWELL <br />Residence 2323 BILLWOOD 52 <br />GRAND ISLAND, NE 68801 -6204 <br />COURT RECORDING INFORMATIPN.. :,- - .- ....._.., <br />Liber Page UCC No. Serial No. <br />n/a n/a n/a 94-103889% <br />Tax Period <br />Date of <br />ast D for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying mum <br />JAssessment <br />Refill <br />of Assessment <br />lal <br />(bJ <br />(cl <br />(d) <br />(el <br />If) <br />1040 <br />12/31/1989 <br />351 -62 -9022 <br />11/15/1993 <br />12/15/2003 <br />4289.23 <br />' -040 <br />12/31/1990 <br />351 -62 -9022 <br />08/23/993 <br />09/22/2003 <br />3647.88 <br />1040 <br />12/31/1991 <br />351 -62 -9022 <br />04/04/1994 <br />05/04/2004 <br />2383.74 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />10320.85 <br />Grand Island, NE 68602 -1692 <br />This notice was prepared and signed at <br />the 28th day of Septemher, 2003 <br />Omaha, NE <br />, on this, <br />Signature Title Compliance Technical Support <br />Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Faderal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE .-.,T warn cnnga1 <br />03 <br />