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<br />10/03/2006 13:53 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />141 003 <br /> <br />& <br /> <br />200608860 <br /> <br />--*-- <br /> <br />1075 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax: Lien <br /> <br />Form 668 (I) <br />(Rev. 10-2000) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 399719880 <br /> <br />I 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 <br />internal revenue tax lien was filed on November 06 <br />1997 ,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 />THOMAS A WAGONER <br /> <br />For Use bv Recording Office <br /> <br />Illll'llnllllI <br /> <br />9906472987-9 Pg,: I <br />WAGONER THOMAS A , <br />Filed: 10/0212006 09:46 AM <br /> <br />Residence 116 W FOURTH ST <br />GRAND ISLAND, NE 6'8801-461cm,c11 \01 ~" ""__ , . <br /> <br />COURT RECORDING INFORMATION = T F R ~,~ ~ ~J "\' a ~ O'! f\J <br />Liber Page uce No. Serial No - ~-~ - . -, . ~ Y' - ~ ~ ~ .' " '" <br />n/a n/a n/a 97-109410 <br /> <br />Tax Period <br />Kind of Tax: Ending Identifying Number <br />(a) (bJ fe) <br />941 09/30/1995 47-0550792 <br />941 12/31/1995 47-0550792 <br />941 03/31/1996 47-0550792 <br />941 09/30/1996 47-0550792 <br />********~*******~**************** <br /> <br />Date of ' Last _,Day for <br />Assessment Refillng <br />fd) (e) , <br />12/25/1995 01/24/2006 <br />03/25/1996 04/24/2006 <br />06/17/1996 07/17/2006 <br />04/28/1997 OS/28/2007 <br />********~************** <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br /> <br />45.25 <br />45.02 <br />46.12 <br />249.43 <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 />385.82 <br /> <br />This notice was prepared' and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />the <br /> <br />20th day'of September, 2006 <br /> <br />Signature <br /> <br /> <br />Title Director I Campus Compliance <br />Operations <br /> <br />(NOTE: Certificate of officer authorized bV law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 409) <br />'ilrt 1 - RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev. 10-2000) <br />CAT. NO 600261 <br /> <br />(Jj) <br />