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<br />07/21/2008 MON 15:10 PAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/004 <br /> <br />bb <br />Form 668 (Z) <br /> <br />--*-- <br /> <br />4653 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br /> <br />- k< ~ rrr'. - '" am <br /> <br /> <br />9908566294-7 . Pss : 1 <br />COOK RONALD 0 <br />Filed: 07/21/2008 11:13 AM <br /> <br />Serial Number <br /> <br />(Rev. 10-20001 <br /> <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 <br /> <br />301841406 <br /> <br /> <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 21 <br />2006 . 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 />RONALD D COOK <br /> <br />200806239 <br /> <br />Residence PO BOX 169 <br />ALDA, NE 68810-0169 <br /> <br />Liber <br />2006 <br /> <br />Page <br />06506 <br /> <br />COURT RECORDING INFORMATION: <br />UCC No. Serial No. <br />9906462250-6 200606506 <br /> <br /> Tax Period Date of Last D1T. for <br />Kind of Tax Ending Identifying Number Assessment Refi n8' <br />(al II (el (dl (el <br />1040 12/31/2003 XXX-XX-8638 09/06/2004 10/06/2014 <br />1040 12/31/2003 XXX-XX-8638 03/20/2006 04/19/2016 <br />1040 12/31/2004 XXX-XX-8638 11/07/2005 12/07/2015 <br />******** ********** ************* ********** ************ <br /> <br />Unpaid Balance <br />of Assessment <br />, <br /> <br />3196.83 <br />3761.31 <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 />6958.14 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />. on this. <br /> <br />09th day of July <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. 409) <br />Part 1 . RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev. 10-2000) <br />CAT. NO 600261 <br /> <br />\\' <br />