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<br />07/03/2007 TUE 15:19 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~003/003 <br /> <br />~ <br />0' --*-- <br />Form 668 (Z) <br /> <br />(Rev. 10-20001 <br /> <br />3464 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Uen <br /> <br />=.:::--::;:~Area~--'--.'.'.".'_. :..'... -.:_~. ".~~~.- __n <br /> <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />'Lien Unit Phone: (800) 913-6050 <br /> <br />.. =sefiaFNuml5e(- - .. "-- . "- -- .- <br />142779903 <br /> <br /> <br />--0ff-ice-.."....". <br /> <br />HE Sa" of Stoto Joh" A Galli. uee FllEL. <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 14 <br />2 0 03 ,is authorized to note -the books to show the re,lease of this lien for, <br />these taxes and additions. <br /> <br /> <br />9907516100-6 pgs: 1 <br />PAIDER MARILYN F <br />Filed: 01/03/200701:$9 PM <br /> <br />Name of Taxpayer <br />MARILYN F PAIDER <br /> <br />Residence 124 WEST LN <br />GRAND ISLAND, NE 68803-7009 <br /> <br />20070,5650 <br /> <br />COURT RECORDING INFORMATION: <br />,Liber Page UC Serial No. <br />2003 14951 03303644~ 00314951 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/1995 <br />12/31/1997 <br />******** ********** <br /> <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br /> <br />Date of <br />Identifying Number Assessment <br />(e) (d) <br />507-70-2286 ' 02/24/2003 <br />507-70-2286 02/24/2003 <br />************* ********** <br /> <br />Last D~y for <br />Refillng <br />(e) <br />03/26/2013 <br />03/26/2013 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />9795.64 <br />8262.93 <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 />18058.57 <br /> <br />. This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />r on this, . <br /> <br />the <br /> <br />21st day of June <br /> <br />2007 <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 />Federal Tax lien Rev. Ru!' 71-466, 1971 - 2 C.B. 409) form 668 (Z) (Rev. 10-20001 <br />Part t - RECORDING OFFICE CAT. NO 600261 <br /> <br />v~ <br />