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<br />10/04/2005 17:05 FAX 14024714429
<br />
<br />NEBRASKA Dee
<br />
<br />I4J 003/003.
<br />
<br />1872
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<br />Department of the Treasurv -lnter~~I.~_eyer!"(iEl,gervlce',:.' ,':,,~ ". ':':, , ':.\' ,:::.,,;:
<br />Certificate of Release of.FederafTaxLien.' " ,. ..' . '",' ,,-,,:'
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<br />
<br />~
<br />
<br />form 668 (Z)
<br />(Rev. 10-20001
<br />
<br />Area: Serial Number
<br />SMALL BUSINESS/SELF EMPLOYED AREA #9
<br />Lien Unit Phone: (BOO) 913-6050224393805
<br />
<br />.. For Use by Recording Office
<br />
<br />I certify that the following-named taxpayer, under the requirements of secti,on 6325 (
<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 May 06 .' ,,' ,"
<br />2 0 0 5 ,is authorized to note the books to show the release of 'this lien for."" ..
<br />these taxes and additions.
<br />
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<br />J G AND J INC !
<br />Filed: 10/04120tllS 02:24 PI'I___....l
<br />,-- ~- --~._-~--~..------------ , .
<br />
<br />",";
<br />
<br />Name of Taxpayer
<br />J G AND J INC
<br />% JIM KEESHAN
<br />
<br />Residence3235 S LOCUST ST
<br />GRAND ISLAND, NE 68801-8816
<br />
<br />Liber
<br />n/a
<br />
<br />COURT RECORDING INFORMATION:
<br />Page T.!Sf-N.o.. "- Serial No.
<br />n/a ~].~3201-]) 200504125
<br />
<br />""'"
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<br />, .
<br />'-,.-
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<br />. ,
<br />, .,
<br />
<br />Tax Period
<br />Kind of Tax Ending Identifying Number
<br />fa) (b) fe)
<br />CIVP 12/j1/2001 47-07561Q1
<br />********~**********~*************
<br />
<br />[ ,"
<br />Date of Last. Day for
<br />Assessment ". Refillng
<br />(d) .. (er"
<br />
<br />09/27/2004 10/27/2014
<br />* * ** * * * * * ** **.~ *,~**',** ** *
<br />
<br />Unpaid Balance .
<br />of Assessment"' '
<br />ff)
<br />'5935.01"
<br />***************~
<br />
<br />"
<br />
<br />" ".'
<br />
<br />" ':/
<br />
<br />Place of Filing
<br />
<br />Register of Deeds
<br />Hall POBOX 1692 '
<br />Grand Island, NE 68802-~692
<br />
<br />Total $
<br />
<br />5935.01
<br />
<br />This notice was prepared and signed at
<br />
<br />, ST PAUL,/ MN
<br />
<br />, on this,
<br />
<br />. the
<br />
<br />21st day of September, 2005
<br />
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<br />'r:
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<br />Signature
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<br />. . 'P4rb..1 a fl4~~~'->:.
<br />
<br />Title, Director; Campus Compliance.'.-'
<br />Operations' '- ....;. , - -. "
<br />
<br />(NOTE: Certificate of officer authorized by law to take acknowledgm~nt$ is, 'Flot essential to't~~ validity ?f Certificate of Reieasa .of ':' ,: '
<br />Federal Tax lien Rev. Rut 71466. 1971 - 2 C.B. 409). . >;.".'o,'..r;. o>,'"~":=-'-~'.'''H..~.__'''_ _..,.;n:,,,:__"'_-'_~ F ','68lZY"IR'---1 l}:2000("-"'c<; 0,1\
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