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10/23/2003 08:29 FAX 14024714429 NEBRASKA UCC <br />1008 Department of the Treasury - Internal Revenue Service <br />Form 668 (Z) Certificate of Release of Federal Tax Lien <br />Rev. 10 -20001 <br />Area: Serial Number <br />STQ3_rL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 322 -EDBD 399716417 <br />1 certify that the following -named taxpayer, underthe 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 July 30 <br />X997 , is authorized to note the books to show the release of this lien for <br />these taxes and additions- <br />Name of Taxpayer <br />JAMES W GEIGER <br />JIM GEIGER CONSTR <br />Residence3720 W STATE C3 GRAND <br />GRAND ISLAND, NE 68803 <br />16002/003 <br />For Use by Recording Office <br />N! Sae of State - UCC Tit <br />9903NO419 -5 <br />G�Iwm Imes w <br />Filed: 10122120MB 0CC3 PM <br />200314064 <br />COURT RECORDING INFO Pd. <br />Liber Page UCC No. Serial No ,� �//� <br />n/a n/a n/a 97- 106069 G�'�Lti `��1r. <br />Tax Period <br />Date of <br />Last D for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refing <br />of Assessment <br />(a) <br />(bl <br />(a) <br />(d) <br />(e) <br />(V <br />6721 <br />12/31/1992 <br />47- 0564528 <br />01/29/1996 <br />02/28/2006 <br />149`_.96 <br />940 <br />12/31/1992 <br />47- 0564528 <br />09/13/1993 <br />10/13/2003 <br />1213.76 <br />941 <br />0613011991 <br />47- 0564528 <br />09/23/1991 <br />10/23/2001 <br />57.15 <br />941 <br />09/30/1991 <br />47- 0564528 <br />12/30/1991 <br />01/29/2002 <br />231.41 <br />941 <br />06/30/1992 <br />4.7- 0564528 <br />09/13/1993 <br />10/13/2003 <br />2950.13 <br />941 <br />09/30/1992 <br />47- 0564528 <br />09/13/1993 <br />10/13/2003 <br />871.36 <br />Place of Filing <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 19t"-, day of October 2001. ' <br />Total 1$ 6825.-/8 <br />, on this, <br />Signature /� Title Compliance Technical Support <br />`�K rx— Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is rot essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 7 ?-466, :971 - 2 C.S. 409) `^ ^rr�'r Form 668 (Z) IRev. ' 0 -20001 <br />