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01/07/2005 12:47 FAX 14024714429 NEBRASKA UCC Ijj 004/006 - - * -- NAT � A �I 1872 Department of the Treasury Internal 9tli Form 668 (Z) (Rev. 10 -2000) 1 Certificate of Release of Federal Tax Lien Area: Serial Number For Use by Recording Office SMALL BUSINESS /SELF EMPLOYED AREA #9 Lien Unit Phone: (651) 312 -8080 135202303 NE Sot.: 5+.4. - UCC TOO I 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 Code section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on September 29 9905370520 -6 Pus: 1 2003 is authorized to note the books to show the release of this lien for COI.VIN ANNETTE P - -- , Filed; 01/06/2006 04:38 PM these taxes and additions. Name of Taxpayer ANNETTE P & DENNIS H COLVIN 20050U2,3 Residence412 1/2 W DIVISION GRAND ISLAND, NE 68801 -6512 COURT RECORDING INFORMATION: Liber Page ---- -. Serial No. — 8%200312943 n/a n/ 9903296552 - Tax Period Date of Last Darr for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilmg of Assessment .(al (b) (C) (d1 (eJ (f) 1040 12/31/2000 506 -72 -.7947 04/21/2003 05/21/2013 11473.68 ******** * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** Place of Filing Register of Deeds Hall POBOX 1692 Total $ 11473.68 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 29th day of December 2004, ST PAUL, MN , on this, Signature Title Director, Payment Compliance (NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000)