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<br />10/15/2007 MON 15:54 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Ball <br /> <br />121005/010 <br /> <br />)fQ <br /> <br />Form 668 (1) <br /> <br />--*-- <br /> <br />1924 <br /> <br />Department of. the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien- <br /> <br />200708893 <br /> <br />(Rev. 10-2000) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 913-5050 390264367 <br /> <br />I certify that the following-named taxpayer, under the requirements of section 63.25 (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 December 19 <br />2 002 ,is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />Nam~ of Taxpayer <br />THOMAS P METTENBRINK <br /> <br />For Use by Recordin Office <br /> <br /> <br />Residence 710 W 4 TH ST <br /> GRAND ISLAND, NE 68801-4529 <br /> COURT RECORDING INFORMATION: <br />- Liber Page U Serial No. <br />n/a n/a 990.2249277-51 200.21433.0 <br /> Tax Period Date of Last Oal. for Unpaid Balance - , <br />Kind of Tax_ Ending Identifying Number Assessment Refi ng of Assessment <br />(a) (b) (c) (d) (e) (I) <br />940 12/31/2000. 47-0.758534 0.1/0.7/200.2 0.2/0.6/20.1.2 65.79 <br />941 03/31/2000 47-0.758534 01/0.7/200.2 02/06/2012 250.7.82 <br />941 06/30/2000. 47-0758534 01/07/2002 - _ 02/06/2012 2077.54 <br />941 09/30/2000 47-0758534 01/07/2002 0.2/0.6/2012 2200.02 <br />-941 12/31/2000 47-0.758534 0-1/07/2002 0.2/06/2012 829.90 <br />941 03/31/2001' 47'-0758534 12/31/2001 .01/30./2012 742.60. <br />941 06/30/2001 47-0.758534 12/31/2001 01-/30/2012 967.77 <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 />9391. 44 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />the <br /> <br />04-th _ day of October <br /> <br />20.0.7 <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 0 <br />Federal Tax lien Rev. Ru!' 71-466,1971 - 2 C.B. 4091 . Form 668 (Z) (Rev. 10.20001 n~_ <br />Part 1 . RECORDING OFfiCE CAT. NO 600261 ~ ~ <br />