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<br />02/03/2006 16:40 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />Igj 006/010 <br /> <br />~ <br /> <br />Form 668 (Z) <br /> <br /> <br />200601019 <br /> <br />--*-- <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax 'Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 . 182233304 <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. 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 27 <br />2004 ,is authoriz.ed to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />For Use b <br /> <br /> <br />(Rev. 10-20(0) <br /> <br /> <br />990643660$-7 PSIS: 1 <br />FL.ODMFlN RALPH E <br />Fii.d, 021031200& 02:21 PM <br /> <br />Name of Taxpayer <br />RALPH E FLODMAN <br /> <br />Residence 9455 N 1ST AVE <br />WOOD RIVER, NE 68883-1705 <br /> <br />COURT RECORDING INFORMATION: <br />Liber page Ucc....-:Ne. Serial No. <br />n/a n/a~904343919- 200407494 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2000 <br />12/31/2002 <br />******** ********** ************* <br /> <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br /> <br />Identifying Number <br />(c) <br />508-60-0'414 <br />508-60-0414 <br /> <br />Date of <br />Assessment <br />(d) <br />02/18/2002 <br />06/02/2003 <br />********** <br /> <br />Last Day for <br />RefiUng <br />(e) <br />03/19/2012 <br />07/02/2013 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />2241.17 <br />980.00 <br />**************** <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 16'92 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />3221.17 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />25th dayof January <br /> <br />2006 <br /> <br />Signature <br /> <br />~WLI a fI~ <br /> <br />Title Director, Campus Compliance <br />Operations <br /> <br />(NOTE: Certificate of officer authorized by law to take acknowledgments 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. 10-2000) <br />.... ......""'''''''ft,...,~ ncltlrc ,.....T ..In c:nn?~1 <br /> <br />