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<br />NEBRASKA Dee <br /> <br />1aI 0041010 <br /> <br />02/03/2006 16:40 FAX 14024714429 <br /> <br />3358 <br /> <br /> <br />200601017 <br /> <br />~ <br /> <br />--*-- <br /> <br />o <br />Certificate of Release of Federal Tax Lien <br /> <br />Form 668 (1) <br />(Rev. 10-2000) <br /> <br />Area: . Serial Number <br />SMALL BUSINESS/SELF EMPLbYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 47900486,3 <br /> <br />I certify that the following-named taxpayer, under the requirements of section 6325 ( <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, tne 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 December 12 <br />1990 ,is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />Name of Taxpayer <br />DARREN C & REBECCA AnDY <br /> <br />For Use b <br /> <br /> <br /> <br />SQ06436H3-3 PIlS, 1 <br />ADOV DARREN C <br />Fil.d: 02103/2006 02:21 PM <br /> <br />Residence 2216 CIRCLE DR <br />GRAND ISLAND~ NE 68801-6853 <br /> <br />Liber <br />n/a <br /> <br />Page <br />n/a <br /> <br />COURT RECORDING INFORMATION: <br />uce No. No. <br />n/ 2t) 90-107105 <br /> <br /> Tax Period Date of Last Dal. for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Reiling of Assessment <br />(a) (b) (c) fd) {fI} (f) <br />1040 12/31/1989 505-84-2049 10/08/1990 11/07/2000 10674.36 <br />******** ********** ************* ********** ************ **************** <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX: 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />10674.36 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />the <br /> <br />23 rd day of January <br /> <br />2006 <br /> <br />Signature <br /> <br />~~ a fI~ <br /> <br />Title Director 1 Campus Compliance <br />Operations <br /> <br />(NOTE: Certificate of officer authorized by law to take ecknowledgments is not essential to the validity of Certificate of Release of <br /> <br />Federal Tax lien Rev. Ru!. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 1 O~2000) <br />_ ,.. ftP",..ftn.IUI: nJ:'~II"S: ,..AT ....IA ~n."?h' <br /> <br />