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<br />02/04/2008 MON 15:42 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1aJ002/010 <br /> <br />o~ <br /> <br />Form 668 (1) <br />(Rev. 10-2000/ <br /> <br />1924 <br /> <br />Department of the Treasury. Internal Revenue Service 2 0 0 8 0 0 8 7 \i <br />Certificate of Release of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 209772105 <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 />addi~ions -has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on January 27 <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 />KEITH J MCTAVISH <br /> <br />For Use b <br /> <br /> <br />ME .SB~ at 'tote John A G.1B ... Ute: f=REL <br /> <br /> <br />9908546344-0 PUll: 1 <br />MCTAVISH KEITH J <br />Filed; 02/04/2008 10:44 AM <br /> <br />Residence PO BOX 411 <br />WOOD RIVER, NE 68883 <br /> <br />"Liber <br />2005 <br /> <br />Page <br />00697 <br /> <br />COURT RECORDING INFORMATION: <br />Ug:: ~o . Serial No. <br />905375114- 00697 <br /> <br /> Tax: Period Date of Last DiP.; for Unpaid Balance - <br />Kind of Tax: EDdm, Identifying Number Assessment Refilng of Assessment <br />a " c d e , <br />1040 12/31/2001 XXX-XX-1693 12/09/2002 01/08/2013 29072.94 <br />1040 12/31/2002 XXX-XX-1693 04/28/2003 OS/28/2013 18013.37 <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 />47086.31 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL ~ MN <br /> <br />, on this, <br /> <br />the <br /> <br />23 rd 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 law to take. acknowledgments is not essential to. the validity af Certificate af Release af <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 \j.r" <br />