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<br />01/24/2008 THU 15:22 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />200800609 <br /> <br />1dJ003/003 <br /> <br />'(J't; <br />,Form 668 (I) <br />(Rev. 10.20001 <br /> <br />1924 <br /> <br />Dep~rtment of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Uen <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 388019407 <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 September 12 <br />2 007 , 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 />JOEL B & JANELL K SHAFER <br /> <br />For Use by Recordino Office <br /> <br />111""1111111 r IIIII' <br /> <br />9908544720-6 Pas: 1 ' <br />SH~ER JANELL K <br />Filed: 01124/2008 11 :45 AM <br /> <br />Residence 66 PONDEROSA DR <br />GRAND ISLAND, NE 68803-9673 <br /> <br />Kind of Tax <br />, lal <br />1040 <br />******** <br /> <br />COURT RECORDING INFORMATION: <br />Page UCr' lI.T..... Serial No. <br />n/a ~07524975-~" 200707850 <br /> <br />Tax Period Date of <br />Ending Identifying Number Assessment <br />(bJ leJ ' (d} <br />12/31/2001 XXX-XX-0675 12/09/2002 01/08/2013 <br />**********j************* **********ll************ <br /> <br />Last Day for <br />Retiling <br />le} <br /> <br />Unpaid Balance <br />of Assessment <br />If} <br />2326.82 <br />**************** <br /> <br />Li,ber <br />n/a <br /> <br />Place of Filing <br /> <br />--,- <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802"'1692 <br /> <br />Total $ <br /> <br />2326.82 <br /> <br />This notice \/Vas prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, 01) this. <br /> <br />the <br /> <br />15th day of January <br /> <br />2008 <br /> <br />Signature <br /> <br /> <br />Title Director, Campus Compliance <br />Operations <br /> <br />(NOTE: Certificate of officer authorized by lew 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. 4091 Form 668 (1) (Rev. 10-20001 <br />Pan . . RECORDING OFFICE CAT. NO 600261 <br /> <br />V' <br />