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<br />05/20/2008 TUE 15:20 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/003 <br /> <br />rjJ <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 2 0 0 8 0 4 4 15 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 376329007 <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 Jul y 18 <br />2007 . 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 />SHANE F HIGGINS <br /> <br />For Use by Recording Office <br /> <br />\llllllll'lln <br /> <br /> <br />9908560519-9 pg . <br />~tr~a~0g~~~72~0B 12;35 PM <br /> <br />Residence 3335 PRIMROSE DR <br />GRAND ISLAND, NE 68801-8762 <br /> <br />COURT RECORDING INFORMATION: <br />Liber Page ,TT(,(, l\1..... Serial No. <br />n/a n/a (9907517670-4.) 200706068 <br /> <br />Tax Period Date of Last Day for <br />Kind of Tax Endlnr Identifying Number Assessment Refilln, <br />(a) IbJ lel (dJ (el <br />1040 12/31/2001 XXX-XX-8683 07/24/2006 08/23/2016 <br />1040 12/31/2002 XXX-XX-8683 07/24/2006 08/23/2016 <br />1040 12/31/2003 XXX-XX-8683 03/12/2007 04/11/2017 <br />1040 12/31/2004 XXX-XX-8683 03/12/2007 04/11/2017 <br />********"'**********11************* **********'Il************ <br /> <br />Unpaid Balance <br />of Assessment <br />(IJ <br />53381.90 <br />3451.47 <br />41969.04 <br />55113.14 <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 />153915.55 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />07th day of May <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. 4091 Form 668 (Z) (Rev. 10-20001 <br />Parc t . RECORDING OFFICE CAT. NO 600261 <br /> <br />~ <br />