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<br />12/16/2008 TUE 15:38 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI002/002 <br /> <br />O~ --*-- <br />Form 668 (Z) <br />(Rev. 10-20001 <br /> <br />8801 <br /> <br />Department of the Treasury ~ Internal Revenue Service <br />Certificate of Release of Federal Tax: Lien <br /> <br />200810198 <br /> <br />Area: <br />WAGE & INVESTMENT AIU:A #2 <br />Lien Unit Phone: (800) 913-6050 <br /> <br />Serial Number <br /> <br />For Use b Recording Office <br /> <br />35.2547507 <br /> <br /> <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on March 28 <br />2007 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />Name of Taxpayer <br />RAY L GATZEMEYER <br /> <br />9908579340-1 Pys: 1 <br />GATZEMEYER RAY L <br />Filed: 12/16/2008 12:64 PM <br /> <br />Residence 663 FAIDLEY PL APT 3 <br />GRAND ISLAND, NE 68803-3476 <br /> <br />Kind of Tax <br />(a} <br />1040 <br />1040 <br />******** <br /> <br />COURT RECORDING INFORMATION: <br />Page uee No. Serial.No. <br />n/a 9907502691-1 0200702472 <br /> <br />Tax Period <br />Ending <br />b} <br />12/31/2001 <br />12/31/2003 <br />********** <br /> <br />Identifying Number <br />(c <br />XXX-XX-3452 <br />XXX-XX-3452 <br />************* <br /> <br />Date of <br />Assessment <br />(d} <br />07/31/2006 <br />07/31/2006 <br />********** <br /> <br />Last Day for <br />Refiling <br />(e} <br />08/30/2016 <br />08/30/2016 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />(t <br />~. 7869.90 <br />3315.61 <br />**************** <br /> <br />Liber <br />n/a <br /> <br />...,. ". .'; .f'.:I~ <br />. ..~ <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />11185.51 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />03rd day of December <br /> <br />2008 <br /> <br />Sigl1ature <br /> <br /> <br />Title Director, Campus Compliance <br />Operations <br /> <br /> <br />(NOTE: Certificate of officer authorized by law to take .acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466. 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-20001 <br />Pare. - RECORDING OFFICE CAT. NO 600261 <br />