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<br />04/21/2008 <br /> <br />0'0 <br /> <br />KON 14:44 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI004/005 <br /> <br />--*-- <br /> <br />1924 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />200803354 <br /> <br />Form 668 (1) <br />(Rev. 10-20001 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 390259538 <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 August 07 <br />2 002 , 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 />JEFFREY T & WENDY J ROMSA <br /> <br />For Use by Recording Office <br /> <br />11111'Ilrnll" II r <br /> <br /> <br /> <br />9908556874-!5 PliIS' 1 <br />ROMSA JEFFREY T . <br />Filed: 04/21/2008 02:16 PM <br /> <br />Residence 607 STAGECOACH RD <br />GRAND IaLAND, NE 68801-7503 <br /> <br />COURT RECORDING INFORMATION: <br />Liber Page uee l\Tn Serial No. <br />n/a n/a C9902229761-8~ 200208238 <br /> <br />Tax Period Date of Last Day for <br />Kind of Tax Endins' Identifying Number Assessment Reflllng <br />(aJ (b} (el (dl (el <br />1040 12/31/1998 XXX-XX-1980 11/22/1999 12/22/2009 <br />*********************~*********** **********~************ <br /> <br />Unpaid Balance <br />of Assessment <br />(II <br />8759.01 <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 />8759.01 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />, on this, <br /> <br />09th day of April <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 rf\ <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) . Form 668 (Z) (Rev. 10-2000) :-.JV <br />Part 1 . RECORDING OFFICE CAT. NO 600261 (j <br />