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200708895
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10/16/2007 4:10:35 PM
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10/16/2007 4:10:35 PM
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DEEDS
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200708895
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<br />10/15/2007 MON 15:54 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121007/010 <br /> <br />"3J <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 20070 8895 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #2 <br />Lien Unit Phone: (800) 913-6050 269877606 <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 revenue tax lien was filed on February 06 <br />2006 ,is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />For Use bv Recording Office <br /> <br />1m IIII~.ll'l r <br /> <br />9907529637-8 pgs: 1 <br />METTENBRINl< KAREN A <br />Filed: 1011512007 02:,32 PM <br /> <br />Name of Taxpayer <br />THOMAS P & KAREN A METTENBRINK <br /> <br />Residence 1324 WN FRONT ST <br />GRAND ISLAND, NE 68801 <br /> <br />-COURT RECORDING INFORMATION: <br />Liber Page QCC No. =<l SeJ;:'ial No. <br />~/a n/ac-9906436633-6; 200601023 , <br /> <br />Tax Period Date of Last Day for <br />Kind of Tax Ending' Identifying Number Assessment Retilinl <br />(a) (b) (c) (d) (e) <br />1040 12/31/2003 XXX-XX-3732 OS/24/2004 06/23/2014 <br />1040 12/31/2004 XXX~XX-3732 OS/23/2005 06/22/2015 <br />** * ** * * *1'** ** ** *.* * ** j * *** ******* ***** ** * ****j ** ** ** ** * ** * <br /> <br />'Unpaid Balance <br />of Assessment <br />(f) , <br />1430.52 <br />1577.71 <br />**************** <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX i692 . <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />3008.23 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL,MN <br /> <br />, on this, <br /> <br />04 th day of October. <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 ta~e acknowledgments is not essential to the validity of Certificate of Release of <br />. Federal Tax lien Rev. Ru!' 71466,1971. - 2 C.B. 409). Form 668 (Z) (Rev. 10-20001 <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br /> <br />cf <br />
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