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200802127
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3/14/2008 3:43:38 PM
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3/14/2008 3:43:38 PM
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DEEDS
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200802127
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<br />03/13/2008 THU 14:37 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />00 <br /> <br />121004/004 <br /> <br />Form 668 (Z) <br />(Rev. 10-20001 <br /> <br />4653 <br /> <br />Department of the Treasury. Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 913-6050 <br /> <br />Serial Number <br /> <br />For Use b <br /> <br /> <br />193751504 <br /> <br /> <br />9908551677-2 Pss; 1 <br />HAUSSERMANN CATHLEEN <br />Filed; 0311312008 11:05 A~ <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 />inte~nal revenue tax lien was tiled on October 07 <br />2 004 ,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 />DONALD & CATHLEEN HAUSSERMANN <br /> <br />Residence4954 W HWY 30 7 <br />ALDA, NE 68810-0025 <br /> <br />200802127 <br /> <br />Liber <br />2004 <br /> <br />Page <br />09921 <br /> <br />COURT RECORDING INFORMATION: <br />UC S~i~ No. <br />9904354084-8 200409921 <br /> <br /> Tax Period Date of Last D1f. for Unpaid Balance <br />Kind of Tax: Endlnr Identifying Number Assessment Refi III of Assessment <br />(a II c d) (e) , <br />1040 12/31 2000 XXX-){X-4361 08/27/2001 09/26/2011 1876.91 <br />1040 12/31/2003 XXX-XX-4.361 05/17/2004 06/16/2014 580.14 <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 />2457.05 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />06 th day of February <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 of Certificate of Release of rC\. <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) r1~)J <br />Part I - RECORDING OFFICE CAT. NO 600261 \ ~ <br />
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