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<br />10/15/2007 MON 15:54 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />l/:lI004/010 <br /> <br />& <br /> <br />Form 668 (Z) <br />(Rev. 10-20001 <br />. <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate. of Release of Federal Tax Lien 200708892 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 390264373 <br /> <br />I certify that the following-named t~xpayer. 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 revenu~ tax lien was filed on December ~9 <br />. 2002 ,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 bv Recording Office <br /> <br />~ll11111111 <br /> <br />9907529634-2 PSs. 1 <br />"'ETTENBRINK KRREN A <br />Filed, 10/16/2007 02:32 PM <br /> <br />Residence1324 WN FRONT ST- <br />GRAND ISLANDt NE 68801 <br /> <br />COURT RECORDING INFORMATION: <br />Liber Page DCC No. Serial No. <br />n/a n/a (9902249280-2) 200214328 <br /> <br />Tax Period Date of Last Day for <br />Kind of Tax Ending Identifying Number - Assessment Refiling <br />(a) (b) (e) (d) (e) <br />1040 12/31/2000 506-64-3732 09/10/2001 10/10/2011 <br />*******************"************** **********"************* <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />6687.32 <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 />6687.32 <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 Direct9r', Campus Compliance <br />Operatlons <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. Rul. 71-466, 1911 - 2 C.B. 409)' ' <br />Part 1 - RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev, 10-2000) <br />CAT. NO 600261 <br /> <br />(1J <br />