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11/10/2003 17:30 FAX 14024714429 NEBRASKA UCC <br />1008 Department efktge�114aF96MJ I�r ternal1;e Service <br />Form 668 (z) <br />(Rev. 10 -20001 Certeffcate of Release of Federal Tax Lien <br />Area: Serial Number For Us; _I <br />SMALL BUSINESS /SfiLF EMPLOYED AREA #9 ae TWO of 6 <br />Lien Unit Phone: (651) 312 -8080 390259559 <br />1 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 ILI <br />internal revenue tax Tien was flied on August 0 7 CAR 2002 , is authorized to note the books to show the release of this lien for FIE lw• tt� <br />these taxes and additions. <br />Name of Taxpayer <br />CARL A & DEBORAH L TESMER <br />Residence 2 9 0 9 HANCOCK PL <br />GRAND ISLAND, NE 68803 <br />1a005/007 <br />200314880 <br />ce <br />2008 02:46 PM <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 7372.73 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at Omaha, NE <br />on this, <br />the 05th day of November 2003 <br />Signature <br />Title Compliance Technical Support <br />Manager <br />(NOTES Certificate of officer authorized by law to take aeknowl INjim;nts is not essential to the validity of Certificate of Release of <br />Federal Tex lien Rev. Rul. 71.486, 1971 - 2 C.B. 409) Form 668 (Z) (Rev, 10 -2000) <br />Pat 1 - RECORDING OFFICE CAT. NO 600261 <br />COURT <br />RECORDING INFORMATION: <br />Liber <br />Page U <br />Serial No. <br />n/a <br />n/a. 902229762- 200208237 <br />Kind of Tax <br />Tax Period <br />Ending <br />Identifying Number <br />Date of <br />Assessment <br />Last Day for <br />Renting <br />Unpaid Balance <br />of Assessment <br />(a) <br />W <br />(c) <br />(d) . <br />(e) <br />(f) <br />1040 <br />12/31/1999 <br />506 -66 -5094 <br />.10/30/2000 <br />11/29/2010 <br />4322.49 <br />1040 <br />12/31/2000 <br />506 -66 -5094 <br />07/30/2001 <br />08/29/2011 <br />3050.24 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total $ 7372.73 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at Omaha, NE <br />on this, <br />the 05th day of November 2003 <br />Signature <br />Title Compliance Technical Support <br />Manager <br />(NOTES Certificate of officer authorized by law to take aeknowl INjim;nts is not essential to the validity of Certificate of Release of <br />Federal Tex lien Rev. Rul. 71.486, 1971 - 2 C.B. 409) Form 668 (Z) (Rev, 10 -2000) <br />Pat 1 - RECORDING OFFICE CAT. NO 600261 <br />