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<br />10/15/2007 HON 15:54 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~006/010 <br /> <br />D <br /> <br />Form 668 (Z) <br />(Rev. 10.20001 <br /> <br />. 1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />200708894 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone; (BOO) 913-6050 390143154 <br /> <br />I certify that the following-named taxpayer, under tile requirements of section 6325 (a) <br />of the Internal Reveriue 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 March 19 <br />2001 ,is authorized to note the books to show the release of this lien tor <br />these taxes and additions. <br /> <br />Name of Taxpayer <br />THOMAS P & KAREN A METTENBRINK <br /> <br />For Use bRecording Office <br /> <br /> <br />Residence 1324 WN FRONT ST <br />GRAND ISLAND, NE 68801 <br /> <br />Liber <br />2001 <br /> <br />Page <br />02144 <br /> <br />COURT RECORDING INFORMATION: <br />U C No Serial No. <br />9901125390 200102144 <br /> <br /> Tax Period Date of Last, Dra; for U,npald B,alance <br />Kind of Tax Ending Identifying Number Assessment ' Refi 01 of Assessment <br />(a) (b) (e) . (d) (8) (f) <br />1040 12/31/1996 506-64-3732 08/31/1998 09/30/2008 2493.89 <br />1040 12/31/1998 506-64-3732 10/04/1999 11/03/200'9 21560.68 <br />'1040 12/31/1999 506-64~3732 06/2.6/2000 07/26/2010 12881.40 <br />******** ********** ************* ********** ************ **************** <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68,802-1692 <br /> <br />Total $ <br /> <br />36935.97 <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 />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. 10-2000) <br />Part 1. RECORDING OFFICE CAT. NO 600261 <br /> <br />(1\\. ' <br />\._" .if <br />