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05/20/2009 WED 15:14 FAX 402 471 4429 UCC SECRETARY OF STATE ~~y Hall X003/008 ~ - Form 668 (Z) 8801 Department of the Treasury -Internal Revenue Service cRe~. , o.zooo> ~~:~ CeirtifiCate of Release of Federal Tax Lied:: , Area: SMALL BUSINESS/SELF EMPL03CED AREA #4 Serial Number _ ,_ .., - - - .1....,~,. - H~ sq~ ,~ s~.~. John R 6da - IICC CRFTL ,~ lien Unit Phone: (soo) 913-6050 46765770$ 1 certify that the following-named taxpayer, under the requirements of section 6325 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Cods section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of g909S97087-7 Pgs: 1 Musi~EK aaMes a internal revenue tax lien was filed on September 09 Filod: 05/20/2009 11:03 qM 2 0 0 8 is authorized to note the books to show the release of this lien for these taxes and additions. Name of Taxpayer JAMES J MUSILEK Residence4216 LARIAT CT 2 0 0 9 0 3 9 4 3 GRAND ISLAND, NE 68803-2232 COURT RECORDING INFORMATION: Liber Page U Serial No. n/a n/a 9908570363-0 200807772 Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment ReBling of Assessment (a) (b) (~) (d) a (f) 1040 12/31/2002 XXX-XX-9135 10/29/2007 7.1/28/2017 15725.30 1040 12/31/2003 XXX-XX-9135 7.0/29/2007 11/28/2017 14133.76 ,r~****** ********** *******.****** ,~*~r******* ***********~ **,r*w*****~r*>r*** Place of Filing Register of Deeds Hall POSOX 1692 Total $ 29859.06 Grand Island, NE 68802-1692 This notice was prepared and signed at the 06th day of MaY Signature A on this, Title Director, Campus Compliance Operations (NOTE: Certificate pf officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71-4fifi, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) Part 1 -RECORDING OFFICE CAT. NO 600261 ~~ CHICAGO, IL 2009