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11/23/2009 MON 11:38 F,AX 402 471 4429 UCC SECRETARY pF STAYS ~~~ Ha17. <br />~~ <br />3592 Department of the Treasury -Internal Revenue Service <br />Form bb8 (Z) <br />lRev. 10-2000) Certlf Cate of Release of Federal Tax Lien <br />Area: Serial Number For Use b Recordin Office <br />SMALL BUSYNESS/SELF EMPLpXED AREA #4 <br />Lien Unit Phone: (800) 9~.3-6050 549596909 NE sa of f~eH roan w 6.~. _ ucc cr~n <br />1 certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Gade has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 8321 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 June 02 9909612710-0 pgs; ~ <br />2 0 Q 9 is authorised to note the books to show the release of this lien for HARRIS CHRISTOPHER !q <br />• <br />these taxes and additions. Filed; 11/23/2009 11:00 pM <br />Name of Taxpayer <br />CHRISTOPHER M HARRIS 2 Q Q 9 ~ 9~~ 5 <br />Residence663 FATDLEY PL APT 2 <br />GRAND ISLAND, NE 68803-3976 • <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. ~ Serial No. <br />n/a n/a 9909598140-2 200904286 <br /> Tax Period Date of Last Dayy for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Retiii ng of Assessment <br />a b) c d) e / <br />1040 12/31/2003 XXX-XX-3198 11/26/2007 12/26/2017 4556.80 <br />******** ****+r***** ****,~******** ********** **~*~****~*~ *.~******~******* <br />Place of Filing <br />Register of Deeds <br />Ha11 POSOX 1692 Total $ 4556.80 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />CHICAGO, IL <br />the 11th day of November ~ 2009 <br />Signature <br />11002/002 <br />on this, <br />Title Director, Campus Compliance <br />Operations <br />(NOTE: Gertificate of gfficer 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. 10-2000) <br />part 1 -RECORDING OFFICE CAT. NO 600261 <br />