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<br />I <br />I <br />i <br />! <br />I <br /> <br /> <br />I <br /> <br />(plm 688 <br /> <br />eep.rlment 01" the Treuury, Intem.' Revenue,SaMca- <br /> <br />iRev Ot-ternber'11$21 <br /> <br />Certificate of Release ofrederatJ'a~Lten <br /> <br />Dlalrlet <br /> <br />SerlalNUfI'Iber <br /> <br />..... <br /> <br />III <br /> <br />.....: <br /> <br />I certify fllat as to the following-named taxpayer, the requirell1ents of section 6325(a) of the <br />Int"",.IReventie. CoOO.l'Iave been satisfied for the taxes Hsle<! below and for all. statutolY <br />additions. Therefj)re, the Hen pr<>llld<l6 by COOe sectton 6321 for the.. taxes and addllions haS <br />been retttased. 1M proper ottJeer in tn.a office whefe the' notice of internal revenue- tax flen was <br />filed on ~ III : 19...a.l-. is authorized to note the bOOl<S to show the release of this lien <br />lor these tax... and addition.. <br /> <br />Name oftaxpayet <br />.... J.. ....... <br />~'.I' &. <br />Re-.:e <br />... W... <br />. <br /> <br />Kind of Tax <br />(It) <br />Mt-ot <br /> <br />Unpaid Balance <br />of~' <br />(fj <br /> <br />u-oi20363 <br /> <br />04-U..a3 <br /> <br />05-11.... <br /> <br /> <br /> <br /> <br />~pt llllno <br /> <br />~ of .... <br />KaU~ <br />an.I 1........ 6IlICl1 <br /> <br />Total S 1,,~lO <br /> <br />This eertihcate *M P-fepared and ..grwa at <br /> <br />(mare. Nebl.-aska <br /> <br />. on this, <br /> <br />~~~'E~ <br /> <br />10 J. s <br /> <br />'''-..-.''--IT;;;;-''-'--.-'.'-'....--..'..'.---.'.---------'..'m'_"_ <br />I <br />I Chef. Speclal Procedures <br />i <br />(~C..-:.fif:OI. of OffK.. (J\,;o-m'OO;i:teolJ Qy ',,""W ~o 'oi~ Q<.:i.nD.....-iU'Cl9il'~.,-f:<!~ i) reo' e~"'r<('o; 'p ,I-e- "<Q!i'd,r;- of NOhf!!!' o-i ff:'(J(ffO' "~_'- :,e'- <br />GX_M, 264t9, t9"jO.!, C 8. 12:5-.) <br /> <br />~<''''''*If.l.... 1~'1J~'1 <br /> <br />P"art 3 - To be ua.o t01 r-.cOfcfu\; Purpoa.s <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />-.J <br /> <br />L_ <br />