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12/22/20D9 TUE 15:36 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Ha11 ~ao4/olx __!k-_ Form 668 Z 3592 Department of the Treasury -Internal Revenue Service (Rev. 10-200D) ~ ~ Certificate of Release of Federal Tax Lien Area: Serial Number For Use b Recordin Office SMALL BUSINESS/SELF EMPLOYED ARF..A #4 Lien Unit Phone: (800) 913-6050 560474009 NE sQ~ ,r state soh„ R Gsle - I1CC CRFTL I certify that the fallowing-named taxpayer, under the requirements of section 6325 (al of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code sectian 6321 far these taxes and additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on ~Tll ~ p $ 99®9614$48-3 Pgs: i 2009 , is authorized to note the books to show the release of this lien for FiledONyZR~2GZ009 01:23 PM these taxes and additions- Name of Taxpayer GREGG JOHNSON 20091oo5s Residence2212 N GRAND ISLAND AVE GRAND ISLAND, NE 68803--2136 COIIRT RECORDING TNFORMATION• Liber Page U Serial No. n/a n/a 990975 7 200905548 Kind of Tax Tax Period irnding Identifying Number Date of Assessment Last Dayy for Refrling Unpaid &alance of Assessment ~1 (b (c d e) ~ f 1040 12/31/2003 XXX-XX-8940 09 18/2006 10/18/2016 2648.38 *~r**** ** *********~ **********~r** ***~****** ************ *****~r*****~~*** Place of Filing Register o£ Deeds Hall POSOX 1692 Grand Island, NE 68802-1692 Total I$ 2648.38 This notice was prepared and signed at the Signature ~~f,~ Title Director, Campus Compliance Operations erti icate 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) Part 1 - RECOIRDING o~FICE Form 6d8 (Z) (Rev. 10-2000) \ n CAT. NO 600261 \` J4/ CHICAGO, IL 09th day of December 2009 , on this,