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<br />01/05/2007 17:15 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />Ig] 006/006 <br /> <br />..-:,.L,....- <br /> <br />TERMINATION <br /> <br />~ <br />J 1075 <br />Form 668 (Zl <br />(Rev. 10-2000) <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />200700161 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 913-6050 390367748 <br /> <br />I certify that the following-named taxpayer, wider 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 taxe~ and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on March 1 7 <br />2003 ,;s authorized to, note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />Name of Taxpayer <br />JOSEPH R SHUR <br /> <br />For Use by Recordin Office <br /> <br /> <br />Residence 3842 W OLD HWY 30 APT 7 <br />GRAND ISLAND, ,NE 68803-5048 <br /> <br />Liber <br />2003 <br /> <br />COURT 'RECORDING INFORMATION: <br />Page UCC Serial No. <br />03049 ,9903263747-2 ;200303049 <br /> <br /> Tax Period Date of ' Last Da.r. for Unpaid Balance <br />Kind of Tax Endins Identifyins Number Assessment Reft ne of Assessment <br />(a) (b) (e) , (dJ (e) (I) <br />1040 12/31/1996 390-56-7742 12/21/1998 01/20/2009 1845.65 <br />******** ********** ************* ********** ************ **************** <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBd~ 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />1845.65 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />the <br /> <br />25th day of October <br /> <br />2006 <br /> <br />Signature <br /> <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 />Feder;llTax lien Rev. Rul. 71-466. 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part 1 ~ RECORDING OFFICE CAT. NO 600261 <br /> <br />dP~\ <br />\ ' <br />\ <br />