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<br />! <br />r <br />I <br />i <br />I~ <br />I (Rev,,~t__t978) <br />! <br />I <br /> <br />"~.'--l" <br /> <br />Fcwnr: 8&8 <br /> <br />Department of the Treasury - InternaJ Qevenue Service <br /> <br />ee.ate of Release of Federal Tax Uen <br /> <br />Disttlct <br /> <br /> <br />Fot Optional UStt:~ RecOrding Offl,;. <br /> <br />I ceriifythllrastqthe following-named mx,P8Yer. 1M requirements of section 6325(a) <br />oft!je'n.', ~nue Code have beensatlsfied for the taxes listed below and <br />for"l st~toryadditions, Therefore. 111e lien.pro\Iided by Code section 6321 for <br />thew laxfils. 8ndadditlons has been rele8Sf!d; The. proper officer in lhe offiCe <br />whefelhe notice of internal revenue tax lien was filed on May 3 , <br />19~. isauthorized'lo note the books.to shOw the release of this lien for <br />tiled taxes and additions, <br /> <br />83.....00121:59 <br /> <br />I <br />I <br />I <br />I <br />I Nart\&ofTaxpayer <br />II ~"'&7 Sa,... ~a~ <br />ResidenCe <br />I 9U Wat. P81 a..L'oR orn.. Boa lAt2 <br />I " <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />! <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br />I <br />I <br /> <br />(e) <br /> <br />Identifying Number <br />Cd) <br /> <br />Unpaid ~ <br />of Assessment <br />le) <br /> <br />KInd ofTlIll <br />(a) <br /> <br />Tax Perlod Ended <br />(b) <br /> <br />Date of Assessment <br /> <br /> <br />St09 <br /> <br />Q~2 <br /> <br />lIO' 41~1449 <br /> <br />~ofFlllng <br /> <br />...... 01 DeeG <br />.tI4.'~' or JaU <br />, ~"'lAl1Md. ...... 6i601 <br /> <br />Total I $ 1ltS." <br /> <br /> <br />TtIis:-48I1ffiC$ was P/:8PlIrecUnd signed al <br /> <br />OmSlh~1 Nebraska <br /> <br />. on this, <br /> <br />the~ dayof Mt~<:,h <br /> <br />signature <br />Allan Julius <br /> <br /> <br />.19 111 <br /> <br />TIlle <br />Chief, Special Procedures (Acting) <br /> <br />acknow#edt;rmentl is not NHnfJ,aJ to the validity <br /> <br />G' Notice 0' n <br />Form 688 {Rev. 1l-78} - U <br /> <br />Part 3 - To be used for recording purposes <br /> <br />L <br /> <br />~ <br /> <br />L <br />