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<br />02/06/2008 WED 15:46 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/005 <br /> <br />0% <br /> <br />--*-- <br /> <br />4653 <br /> <br />Department of the Treasury. Internal Revenue Service <br />Certificate of Release of Federal Tax Uen <br /> <br />200800944 <br /> <br />Form 668 (7) <br />(Rev. 10-2000) <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 215241905 <br /> <br />I certify that the following-l'!amed taxpayer, und.er the requirements of section 6325 (8) <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 March 07 <br />2 0 05 . 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 />JIM K KEESHAN <br /> <br />For Use by Recordin Office <br /> <br />"I:: 5..." <If' S. ta t.. J<lhn II 11.1" - Utt tRFTL <br /> <br /> <br />9908546860-4 PlIS' 1 <br />KEESHAN JII'l K <br />Flled, 02/~/2008 11:29 RI'l <br /> <br />Residence 110 W 2ND ST <br />GRAND ISLAND, NE 68801-5906 <br /> <br />-Kind 'of Tax <br />a <br />1040 <br />******** <br /> <br />COURT RECORDING INFORMATION: <br />Page UCC N Serial No. <br />01951 905382212-7 200501951 <br /> <br />Tax Period <br />Endins <br />(b <br />12/31/2002 <br />********** <br /> <br />Identifying. Number <br />c <br />XXX-XX-1420 <br />************* <br /> <br />Date of <br />Assessment <br />(d <br />03/29/2004 <br />********** <br /> <br />Las~~or <br /> <br />e <br />. 04/28/2014 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />l <br />9266.58 <br />**************** <br /> <br />Liber <br />2005 <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 />9266.58 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />28th dayof January <br /> <br />2008 <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 take_ acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466,1971 -2 C.B. 409) Form 668 (Z) (Rev. 10.2000) <br />Pan. . RECORDING OFFICE CAT. NO 600261 <br /> <br />~' <br />