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<br />07/09/2008 WED 15:33 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~004/004 <br /> <br />~ <br /> <br />Form 668 (Z) <br />(Rev. 10-2000) <br /> <br />4653 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />200805940 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lten Unit Phone: (800) 913-6050 428835508 <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 March 24 <br />2008 ,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 />JEREMY K WIESE <br /> <br /> <br /> <br />9908565171-6 PSIS: 1 <br />WIESE JERE1'lY K <br />Filed: 07/09/200801:07 PK <br /> <br />Residence 8462 W WILDWOOD DR <br />ALDA, NE 68810-9682 <br /> <br />Liber .Page <br />2008 02411 <br /> <br />COURT RECORDING INFORMATION: <br />CC No. Serial No. <br />9908552939-9 200802411 <br /> <br /> Tax Period Date of Last Da.r. for Unpaid Balance <br />Kind of Tax Ending Identif'ying Number Assessment Reft ng of Assessment <br />fa} b te} d fe} , <br />1040 12/31/2002 XXX-XX-2377 12/25/2006 01/24/2017 1044.48 <br />1040 12/31/2003 XXX-XX-2377 12/25/2006 01/24/2017 13895.01 <br />******** ********** ************* ********** ************ **************** <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 68802-1692 <br /> <br />Total $ <br /> <br />14939.49 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />26th day of June <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. Ru!' 71-466, 1971 .2 C.B. 4091 <br />Part . - RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev. 10-20001 <br />CAT. NO 600261 <br /> <br />0? <br />