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84003667
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Last modified
11/20/2008 5:59:23 PM
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11/20/2008 5:59:23 PM
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84003667
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<br />I <br /> <br />,--- ~'-f"""'-.-:-------- ~'--'--"---- .-. - -- -, ----- ,-- --_._-~--- --~ - <br /> <br />I Form_cJ~----".'ifi:~~mentfofRlhe:r_ry.I7:IAedv-::rme I . <br />(Rev,F"';\1983) I 1,,~1l ,te'o' eleDse OJ te erall ax LIeD <br />I Seri811'!i1mOll... r-I ForOptlon.IUB6byRecoid1ngOlfice <br />Om~~a 47 '~41452 OSS 194 J <br /> <br />.. l <br /> <br />I <br /> <br /> <br />I certif}i)hal~tothe lollawingcnamed laxpayer;;:fherequirements af sectian 6325 <br />(a)' altbelnt&nal R8c:--enue Code have been sati~lilld I?r Ihe taxes listed belawand <br />larail ' addiiians. Tnerefare, the lien provided. by COde sectian 6321 far <br />these . lB:Id additions has been released: Tti'El;.pr~er afflcer In the affice where <br />the n lintemai revenue.laxUen was filed en ".".' une 1 . , <br />19 isautharlzed ta nate the baaks lashoWthe',eleaseal this lien lar these <br />taxes and additicins. <br /> <br />84 -{):03tJf7 <br /> <br />Name QITaxpayer <br />. 8ac:ker.Arnold <br />dlbla ~acker C.n.tructton <br /> <br /> <br />ReSidence <br /> <br />I <br />~ 'XJ I <br />.~ 4 I <br />'" I <br />,: 0 I <br />'Place~...Fil~. "'l$tcff!...':~f <br />,tctJa11Ct!!nty <br />~ I"-~ <br /> <br />1: ~ ~; <br />~.> <br /> <br />\;'~ -:';J <br />~.:~ - ~-G <br /> <br />.iJ <br />^~' \,/"-" <br /> <br />! <br />~4-0!:l-S4 <br />iJ-26-S4 <br />I <br />I <br />i <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br /> <br />Unpaid BaI811ce <br />af AsseSsment <br />(Q <br />$. 1.192.34 <br />'$ 87.46 <br />I <br /> <br />! <br />I <br />I <br />, <br />I <br />I <br />I <br />I <br /> <br />~ <br /> <br />112..-3~-8~ <br />12-;j1-83 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />47-0636838 <br /> <br />t.::;: :;.- <br />P'" .-', <br /> <br />:;~ <br /> <br />...,..,..-> <br /> <br />1"~^~ - ~_ <br /> <br />~;".. <br /> <br />(,., <br />.. <br /> <br />oEi.Ps ,,:. <br />Giandv~S(~nd. Nebl'UkiI. <br />. - (- <br /> <br />688Cl1'otal <br /> <br />l.21lhSO <br />$ <br /> <br /> <br />Thiscertilicai~~~.p~EjIjJared and signed at <br /> <br />Qnaba, Nebraska <br /> <br />,aRtl1is, <br /> <br />-::kd:./J <br />the . 3rd-1!!~oi:' July ,19 ~_---,--\ <br /> <br />s!gnatur~~~~'En:;r iTit'e <br /> <br />~ald J. El1r"":ers ____Cief, <br /> <br />Special Procedures <br /> <br />(NOTE: Certific;at9 01 officer authorized by Jaw to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax Usn <br />Rev, Ru/. 71-466, 1971-2, C.B. 409) <br /> <br />Part 3 To De Used for Recording Pur~~ <br /> <br />Form 668(C) (Rev, Z-83lfj <br /> <br />-] <br /> <br />L <br /> <br />L <br /> <br />.-J <br /> <br />i <br />'-- <br />
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