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<br />01(30/2007 18:04 FAX 14024714429 <br /> <br />NEBRASKA, Dee <br /> <br />@ 003/003 <br /> <br />7 <br /> <br />Form 668 (Z) <br />(Rav.10-20oo1 <br /> <br />12414 <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br />. ' <br />Certificate of Release' of federal Tax Lien <br /> <br />20070077'6 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 181385004 <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 />int~rnal revenue tax lien was filed on July 21 <br />: 2004 ,is authorized to, note the books to show the release of this lien for <br />the~e taxes and additions. . , <br /> <br />Name of Taxpayer <br />CHRIS MITCHELL <br /> <br />, For Use b <br /> <br /> <br /> <br />FRn. <br /> <br />9907493040-0 <br />I'llTCHELL CHRIS <br />Filed: 01/3012007 10:30 AM <br /> <br />Residence13550 W PLATTE RIVER DR <br />WOOD RIVER, NE 68883-9526 <br /> <br /> COURT RECORDING INFORMATION:' <br />Liber Page Serial No. <br />n/a n/a 200407199 <br /> Tax Period Date of ! Last Dal. fOf Unpaid Balance <br />Kind of Tax Endln.; Identifying Number Assessme~t RefiIDS of. Assessment <br />(a) (b) (e) (d) (e) (f) <br />941 09/30/1998 42-1470818 03/22/1~99 04/21/2009 257.27 <br />941 12/31/1998 42-1470818 03/15/1999 04/14/2009 320.14 <br />941 03/31/1999 42-1470818 10/04/1999 11/03/2009 1131. 41 <br />941 06/30/1999 42-1470818 10/11/1999 11/10/2009 <br />941 06/30/1999 42-1470818 03/25/2002 04/24/2012 6070.88' <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 />7779.70 <br /> <br />T~is notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />17th day of January <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title Direct9r, Campus Compliance <br />,Operat~ons . <br /> <br />(NOTE: Certificate ot officer authorized by 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) i form 668 (X) (Rev. '0-2000) <br />! Part 1 -IlECORDING~OFFICE CAT. NO 600261 <br /> <br />OJ <br />