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03/04/2005 16:28 FAX 14024714429 NEBRASKA UCC IM 002/005 <br />200501954 <br />�� to 1~ f F '• <br />�• � �, nP a l R' -eR n li u `ie , <br />Service Department of ttie Treasury I inter <br />Form 1 i 27flflfll <br />668 (Z) <br />1­1 Certificate of Release of Federal Tax Lien <br />This notice was prepared and signed at <br />the 23rd day of February , 2005 <br />Signature <br />ST PAUL, MN <br />, on this, <br />Title Director, Payment Compliance <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. 4091 Form 66B (Z) (Rev. 10 -2000) <br />0.. t - RVCnRbnJG OFFICE i-A- nin anrna1 <br />Serial Number <br />For Use by Recording Office <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 <br />189055004 <br />K s" 'F 54'4'' - utc TM <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 September 07 <br />2004 is authorized to note the books to show the release of this lien for <br />Pas f <br />, <br />these taxes and additions. <br />SCOTT B <br />Filed; 03/03/2005 02;47 PM ; <br />Name of Taxpayer <br />SCOTT B ARNOLD <br />Residence 412 N CUSTER <br />GRAND ISLAND, NE 68803 <br />COURT RECORDING INFORMATION: <br />Liber Page Abe-:- - . Serial No. <br />n/a n/ 9904349414- 2`'300408954 <br />Tax Period <br />Date of <br />Last D for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refi�ng <br />of Assessment <br />(al <br />(b) <br />(c) <br />(d) <br />(e) <br />(fl <br />1040 <br />12/31/1997 <br />505 -92 -0429 <br />11/11/2002 <br />12/11/2012 <br />8543.38 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 8543.38 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 23rd day of February , 2005 <br />Signature <br />ST PAUL, MN <br />, on this, <br />Title Director, Payment Compliance <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. 4091 Form 66B (Z) (Rev. 10 -2000) <br />0.. t - RVCnRbnJG OFFICE i-A- nin anrna1 <br />