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<br />04/01/2008 TUE 11:53 FAX 402 471 <br /> <br />~-_....._.._-----------_._---_.__.~_..._------ <br /> <br />\Y __*__ <br />4653 <br /> <br />4429 UCC SECRETARY OF STATE <br /> <br />............ <br /> <br />Hall <br /> <br />121005/006 <br /> <br />Form 668 (Z) <br />(Rev. 10-20001 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien 2 0 0 8 0 2 7 5 3 <br /> <br />Area: Serial Number. <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 390365242 <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 ta~ lien was filed on January 15 <br />20 03 ,is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br /> <br />Name of Taxpayer <br />RONALD COOK <br /> <br /> <br />Residence 2403 W SECOND <br />GRAND ISLAND, NE 68803-5317 <br /> <br />Kind of Tax: <br />a <br />1040 <br />1040 <br />1040 <br />******** <br /> <br />COURT RECORDING INFORMATION: <br />Page UCC No. Serial No. <br />n/a 9903252433-4200300544 <br /> <br />- Tax Period <br />Ending <br />(b} <br />12/31/1998 <br />12/31/1999 <br />12/31/2000 <br />********** <br /> <br />Identifying Number <br />(e} <br />XXX-XX-8638 <br />XXX-XX-8638 <br />XXX-XX-8638 <br />************* <br /> <br />Date of <br />Assessment <br />II <br />09/20/1999 <br />11/20/2000 <br />12/17/2001 <br />********** <br /> <br />Last Day for <br />Rellllng <br />e <br />10/20/2009 <br />12/20/2010 <br />01/16/2012 <br />************ <br /> <br />Unpaid -Balance <br />of Assessment <br />f} <br />1729.66 <br />5285.67 <br />7209..71 <br />**************** <br /> <br />Liber <br />n/a <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 />14225.04 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />the <br /> <br />19 th day of March <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 <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 4091 Form 668 (Z) (Rev. 10-2000) <br />Part 1 . RECORDING OFFICE CAT. NO 600261 <br /> <br />QJ8 <br />