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200708891
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10/16/2007 4:09:49 PM
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10/16/2007 4:09:48 PM
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DEEDS
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200708891
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<br />10/15/2007 MON 15:54 FAX 402 471 4429 UCC SECRE~ARY OF S~A~E ~~~ Hall <br /> <br />~003/010 <br /> <br />of{) <br /> <br />Form 668 (Z) <br />(R~v. 10,20001 <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />200708891 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Uen Unit Phone:-(800) 913-6050 3.90367786 <br /> <br />I certify that the following-named taxpayer, under the requjrem~nts 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 ~evenue tax lien was filed on - March 19 <br />2003 ,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 P & KAREN A METTENBRINK <br /> <br />For Use by Recordin Office <br /> <br /> <br />Residence 1324 WN FRONT ST <br />GRAND ISLAND, NE 68801 <br /> <br />Liber <br />_2003 <br /> <br />Page <br />03220 <br /> <br />COURT RECORDING INFORMATION: <br />UCC No, Serial No. <br />9903264363~9 200303220 <br /> <br /> Tax Period Date of Last Dal. fOf- Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refi lUg of AsseSsment <br />(8) (b) (e) (d) (e) (f) <br />1040 12/31/2001 506-64-3732 12/30/2002 01/29/2013 12791.37 <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 />12791.37 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />the <br /> <br />04th day of October <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 vaiidity of Certificate of Release of <br />Federal Tax lien Rev. Ru!. 71-466,1971 - 2 C.B. 409) <br />Part t - RECORDING OFFICE <br /> <br />Form 668 (Z) lR.ev. 10-20001 <br />CAT. NO 600261 <br /> <br />oP <br />
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