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<br />~------------...............-~--_.~ <br /> <br />NEBRASKA Dee <br />~~.~.~~-~--~- <br /> <br />~ 005/010 <br /> <br />02/03/2006 16:40 FAX 14024714429 <br /> <br /> <br /> <br />200601018 <br /> <br />--*-- <br /> <br />3358 <br /> <br />.Department of the Treasury - Internal Revenue Service <br /> <br />Certificate of Release of Federal Tax Lien <br /> <br />Form 668 (1) <br />(Rev. , 0-20001 <br /> <br />Area: Serial Number , <br />SMALL BUSINESS/SELF EMPLOYED AREA.#4 <br />Lien Unit Phone: (800) 913-6050 479104333 <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 beiow 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 October 23 <br />1991 . is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />~.or Use oy Recording Office <br />NI' I... ~, Sh~" J"hn A D.I. . 'UI;C TIIiI <br /> <br /> <br />990&435684-5 PSIS' 1 <br />ADDY DARREN C . <br />Filed:, 02/03/2006 02,21 PM <br /> <br />Name of Taxpayer <br />DARREN C & REBECCA ADDY <br /> <br />Residence2216 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 />DCC No. No. <br />n/ oS 91-10702~ <br /> <br /> Tax Period Date of Last Dal. .or Unpaid Balance <br />Kind of Tax En4ing Identifying Number Assessment . Refi Ing of Assessment <br />(a) (b) ,(e) (d) (e) (f) <br />1040 12/31/1990 505-84-2049 06/10/1991 07/10/2001 7765.21 <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 />7765.21 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />the <br /> <br />23rd ,day of January <br /> <br />2006 <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essen~lal to the validity of Certificate of Release of' <br />",_..._.~I T~v Ii..n R...v. Rul: 71-466.1971 - 2 C.B.'409) Form 668 (Z) (Rev. 10-2000) <br /> <br />~a-I tl fI~ <br /> <br />Title Director, Campus Compliance <br />Operations . <br /> <br />Signature <br /> <br />7V <br />