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<br />10/15/2007 MON 15:55 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />12100 B / 0 1 0 <br /> <br />~ <br /> <br />Form 668 (Z) <br />(Rev. 10-2000) <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />20'0708896 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA i4 <br />Lien Unit Phone: (800) 913-6050 215506305 <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 file~ on March 07 <br />2005 ,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 METTENBRINK <br /> <br />For Use by Recordin Office <br /> <br />NE ,-" "f S~"~,, J"hn A 8"1,, . uee F~li~ <br /> <br /> <br />9907529638-0 Pas: 1 <br />METTENBRINK THOMAS P , <br />Filed: 1011512007 02:32 PM <br /> <br />Residence1324 W NORTH FRONT ST <br />GRAND ISLAND, NE.68801-4748 <br /> <br />, Liber <br />'2005 <br /> <br />Page <br />01952 <br /> <br />COURT RECORDING INFORMATION: <br />UCC No. Serial No. <br />990538'2213-9 01952 <br /> <br /> Tax Period Date of Last D~r. for Unpaid Balance <br />Kind or-Tax Ending Identifying Number Assessment Refilng Of Assessment <br />(a) (b) (c) (d) . (e) (I) <br />940 12/31/2001 47-0758534 07/26/2004 08/25/2014 172.66 <br />941 09/30/2001 47-0758534 04/07/2003 05/07/2013 3367.13 <br />941 12/31/2001 47-0758534 04/07/2003 05/07/2013 2338.27 <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 />5878.06 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />I on this, <br /> <br />the <br /> <br />04th day of October <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title Director, Ca~pus Compli~nce <br />Operations <br /> <br />(NOTE: Certificate of officer authorize,d by law te take acknowledgments is not essential to the validity of Certificate of Release of <br />Federai Tax lien Rev. Rut 71-466,1.971 - 2 C.B. 4091 . Form 668(Z) (Rev. 10-2000) <br />Part . . RECORDI",G OFFICE CAT. NO 600261 <br /> <br />(jJ <br />