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<br />, FO,",. ,l!iI!dHoI II'
<br />f .' '" UUUI'"
<br />(Re.. Feb., 19831 I
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<br />Department of the Treasury .lntem.1 Revenue Service
<br />
<br />'District
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<br />Certifiite of Release of Federal Tax lien
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<br />---..----:ser;aiibmbElr-. ---------..--~-l-.- ForOprionel Use by _ngOfflce
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<br />Omaha 47 I _h 4672~-b08l.l401il-5.i.31
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<br />I certifY '1hat:~ to Ihe following-named taxpayer ..\he requirement" of section 6325 I
<br />(a) of the Intflfnal REl'!enue Code have been sati~ for the laxes listed belowand I
<br />for all .statut~ additions. Therefore, the lien ~.rl)..v. ided by Code section 6321 for 84' ,- O'02~." ~n.'
<br />these taxes aM additions has been released, The,proper officer in the office where 1 ._,~V'
<br />the notiee of internal revenue tax lien was filed on }'~arch 7 , I
<br />19~, is authorized to note the books to show-the release of this lien for these I
<br />taxes end additions, ' I
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<br />~--+~"~__~_"___.__ ____ _~__._______,_____.-----..:--~~_..__. ___... __________mu
<br />Name of Taxpayer I
<br />Haney. Thomas w. & Diane K. I
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<br />Residence
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<br />1030 Co.
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<br />POeOl'l1X
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<br />.. :,~~~.~;jj~~l:?t,.,ir f111
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<br />Lat Day for I
<br />Rellllng I
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<br />112-13-82 !O-12-Sli Is
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<br />Pl8CeOflill~.~\ter of :-~Q-;~ - - ___L__ --- ____.....L.........
<br />:~, , .~~'iOjj.t,)' 6nno Island. Nellraska 6$801011l
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<br />fa)
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<br />Identifying Number
<br />(c)
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<br />1040
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<br />112-31-&1
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<br />505-78-;1966
<br />
<br />.....1
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<br />Qnaha, Nebraska
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<br />Th~cer1ilicate was prepared and Signed at _._ _____
<br />'1" "~,',~
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<br />Unpllld____
<br />o'A -.nt
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<br />002.01
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<br />jU.Gl
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<br />";,"-"'~;~;}
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<br />,Qfl.,;: .
<br />
<br />"
<br />the 15th dayof May ,19~~___~_
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<br />~--------
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<br />
<br />--- I Trtle ---
<br />Chief, Special Procedures
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<br />..n.-......................'
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<br />__~__.___~___ _ ___._L..." __~_.__.~._____,_
<br />~Tt~~~~1.2, c.11ut:t;jtKi by faw to leks aci:nowiadgments is not essanflaJ to the ...alidity 01 Cerfi/ble of ReINIlIt of FedIIntI r.. Lien
<br />[)arr3 rQt~Joo~:jh)t RecordingPur~$
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<br />FormlN(l;) (!leo,N3t
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