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<br />04/10/2006 17:10 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 002/004 <br /> <br />t)'h <br /> <br />TERMINATION <br /> <br />-.-*-- <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />200603141 <br /> <br />Form 668 (Z) <br /> <br />(Rev. 10-20001 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 390264241 <br /> <br />I certify that the following-name.d taxpayer, under the ,requirements of section 6325 (E <br />of the Internal Revenue Code has satisfied the taxes list.ed 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 December 18 <br />2002 . is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />For Use by Recording Office <br /> <br />\Inllllllllll \1'~111 <br /> <br /> <br />9906447280-0 Pss; 1 <br />SCHULTZ RANDALL ~ <br />Filed, 04/06/2006 11,40 AM <br /> <br />Name of Taxpayer <br />RANDALL W SCHULTZ <br /> <br />Residence3404 W 13TH ST <br />GRAND ISLAND, NE 68803-2389 <br /> <br />Liber <br />n/a <br /> <br />COURT RECORDING INFORMATION: <br />Page U_CC-N&~~~, Serial No. <br />n;~902248833-4\ 200214140 <br /> <br />Tax Period <br />Kind of Tax Ending Identifying Number <br />(a) (b) (e) <br />941 06/30/2001 47-0732214 <br />941 09/30/2001 47-0732214 <br />941 03/31/2002 47-0732214 <br />941 06/30/2002 47-0732214 <br />*******************i************* <br /> <br />Date of Last Day for <br />Assessment Refillng <br />(d) (e) <br />09/17/2001 10/17/2011 <br />1~/31/2001 01/30/2012 <br />07/15/2002 08/14/2012 <br />09/23/2002 10/23/2012 <br />**********i************ <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br /> <br />994.75 <br />3291. 06 <br />5811.40 <br />2300.63 <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 />12397.84 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha" NE <br /> <br />, on this, <br /> <br />the <br /> <br />29th day of March, <br /> <br />2006 <br /> <br />Signature <br /> <br /> <br />Title Director / Campus Compliance <br />Operations <br /> <br />(NOTE: Certificat6 of officer authorized by law to take ac:knowledgments is not essential to the validity of Certificate of Release of , ~,. <br />Federal Tax lien Rev. Ru!. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part 1 . RE.CORDING OFFICE CAT. NO 600261 <br />