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<br />I..-.......~............'..... <br />~~~ <br />r, <br />~.......i' <br />f.. <br /> <br />J <br />f <br />I <br />I <br />r <br />! <br />, <br />f <br />I <br />I <br /> <br />~,-. ~.-"T'-r. <br /> <br />...... <br /> <br /> <br />... <br /> <br /> <br />I <br />I <br /> <br />Form 668 <br /> <br />(Rev. September 1978) <br />Ofattiet <br /> <br />Department althe Treasury. IntenialRevenue Service <br /> <br />Ceitificate of Release of . Fed8ral Tax Lu.n <br /> <br />atall'to the fbllowlng-named taxl'ayer, tile reqolrements of section 6325(a) <br />of al Revenue Code have been siltlstled for tile taxes listed below and for <br />all statutory additions. Therefore, the llenJlfovldedby Code. section 6321 for these <br />tues Iiild additions has been released. TM proper officer in the office where the, <br />nOflce of Internal rev&nue tax lien wasfffed on Nov"mh..r R' ,19.l\L, <br />is.autflOrized to note the books to show thllrelease of this lien for these taxes'and <br />aGdlt1ons. <br /> <br />Name of Taxpayer <br /> <br />..... .... .... <br /> <br />Residence <br />,.-~ ... -. .... <br />.... ....... .... <br /> <br />Kind of Tax <br />(al <br /> <br />Tax Perlod Ended Data of Assessment <br />(bJ (C) <br /> <br />Identifying Number <br />(d) <br /> <br />Unpaid Balance <br />of Assessment <br />(e) <br /> <br /> <br />...". <br /> <br />~.. <br /> <br />.,....... <br /> <br />..,.".. <br /> <br />. PI.. of F~lll)g <br />.....~~. ....~ <br />...... ,.. ~ <br />..... .....JII .... <br />':!. <br />:0 <br /> <br />I <br />Total i $ 1""4M1 <br />I <br /> <br />This certificate was prepared and s.gned at __. Omaha, '-iebrilska <br /> <br />,on this, <br /> <br />tha~day ot -.l:lR.L._, 19 __~_,_,_ <br /> <br /> <br />Procedures <br /> <br />acknawi-edgments lS not ,~ssent~ii! to mi: 'IalidJty af NO[lr;e of <br /> <br />Part 3 - To be used for recording purposes <br /> <br />Form 6611 (Rev. 9,78) <br /> <br />~ <br /> <br />L <br /> <br />.-J <br /> <br />L. <br />