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<br />08/21/2007 TUE 15:59 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />200707170 <br /> <br />121002/012 <br /> <br />0<6 <br />. FOrni 668 (Z) <br />(Rev. 10.20001 <br /> <br />--*-- <br /> <br />1924 <br /> <br />Depart~ent of the Treasury. Internal Revenue Service <br />Certificate of Release Of Federal Tax Lien <br /> <br />235090405 <br /> <br /> <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (1;100)913-6050 <br /> <br />Serial Number <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 re~enue tax lien was filed on July 05 <br />2005 ,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 />DAVIN A BUCY <br /> <br />Residence804 E SUNSET AVE <br />GRAND ISLAND, NE 68801-8117 <br /> <br />Liber <br />2005 <br /> <br />Page <br />06122 <br /> <br />COURT RECORDING INFORMATION: <br />UC serial No. <br />905402190-4 200506122 <br /> <br />Tax Period <br />Kind of ,Tax Ending <br />(a) (bJ <br />1040 12/31/2002 <br />1040 12/31/2002 <br />1040 12/31/2003 <br />1040 '12/31/2003 <br />.******** ********** <br /> <br />Identifying Number <br />(c) <br />478-88-8022 <br />478-88-8022 <br />478-88-8022 <br />478-88-8022 <br />************* <br /> <br />Date of <br />Assessment <br />(d) <br />04/15/2003 <br />07/12/2004 <br />04/15/2004 <br />10/11/2004 <br />********** <br /> <br />Last Day for <br />Refiling <br />(8) <br />05/15/2013 <br />08/11/2014 <br />05/15/2014 <br />11/10/2014 <br />*********'*** <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br /> <br />2245.97 <br /> <br />3037.92 <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 />5283.89 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />28th day of February <br /> <br />2007 <br /> <br />the <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 at Certificate (if Release of <br />Federal Tax lien Rev. Ru!' 71-466, 1971 - 2 C.B. 409) <br />Part 1 . RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev. 10-2000) <br />CAT. NO 600261 <br /> <br />Y' <br /> <br />f' <br /> <br />'--- <br />