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<br />11/04/2008 TUE 13:48 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/004 <br /> <br />~ Form 668 (l) <br />(Rev. 10-20001 <br /> <br />8801 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax: Lien <br /> <br />200809257 <br /> <br />Area: Serial Number . <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (BOO) 913-6050 390366257 <br /> <br />. I certify that the fallowing-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 February 12 <br />2 003 , 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 />THOMAS A WAGONER <br /> <br />For Use by Recording Office <br /> <br />111111INIII111\11' <br /> <br /> <br />99081574984-0 Pgs. 1 <br />WAGONER THOMAS A <br />Filed: 11/04/2008 09:19 A" <br /> <br />Residence1819 W NORTH FRONT ST <br />GRAND ISLAND, NE 68803-4706 <br /> <br />Liber <br />2003 <br /> <br />COURT RECORDING INFORMATION; <br />Page U"" "11"'1 Serial No. <br />01709 (9903257688-D 200301709 <br /> <br />Tax Period <br />Kind of Tax Ending Identifying Number <br />(a) (b) (e] <br />941 09/30/2000 47-0550792 <br />941 12/31/2000 47-0550792 <br />941 03/31/2001 47-0550792 <br />*******************'111************* <br /> <br />Date of Last D~y for <br />Assessment Reming <br />(dl (e) <br />11/25/2002 12/25/2012 <br />11/25/2002 12/25/2012 <br />11/25/2002 12/25/2012 <br />**********'1\************ <br /> <br />Unpaid Balance <br />of Assessment <br />(II <br />1973.33 <br />2034.25 <br />1143.60 <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 />5151.18 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha, NE <br /> <br />i on this, <br /> <br />22nd dayof October <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) IRev. 10-2000) <br />Part 1 . RECORDING OFACE CAT. NO 600261 t <br />