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01/13/2010 WSD 14:45 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hdll <br />!1 ---.. <br />Register of Deeds- <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />~ 3592 Department of the Treasury -Internal Revenue Service <br />Form bb8 (Z) ° <br />,Rey. to-~ooo, Cert~f;cate of Release of Federal Ta~c Lien <br />Area: Serial Number Fr+. i irp by RPCOrdinp Office <br />SMALL BUSINESS/SELF EMPLOI''ED AREA #4 "'~ s°° °r st"• aw+n A G~1• _ uCC CRFTL <br />Lien Unit Phone: (800) 913-fiD50 571569109 <br />I certify that the following-named taxpayer, under the requirements of section 8325 (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 8321 for these taxes and <br />additions has been released. The proper officer in tha office where the notice of 9810616576-i pss, t <br /> <br />internal revenue tax lien was filed on All. LtBt 19 LUTH OOUGLRS ~ <br />Filed: 0tl13l20t0 11:02 AM <br />~ 0 0 ~ , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />Name of Taxpayer G U 1 U ~ U <br />7 ~ U <br />DOUGLAS C LUTH ~ <br />e <br />Residence 4 312 N 9 0TH RD <br />CAIRO, NE 68824-9434 <br />COURT RECORDING INFORNIATTON:. <br />Lilaer Page UCC .Serial No . <br />n/a n/a 09604941-9 200906858 <br /> Tax Period Date of Last Dayy for unpaid Balance <br />Kind of Tax Endinil Identifying Number Assessment Rafflin g of Assessment <br />(a1 (b1 ~) d e t <br />1040 12/31/21J05 XXX-XX-5368 03/09/2009 04/08/2019 25Q669..70 <br />******** ********** ************* ********** ***~*~~~**** *****;E********** <br />Place of Filing <br />Total ~$ 250669.70 <br />This notice was prepared and signed at <br />CHICAGO, TL <br />the 30th day of December 2009 <br />Signature <br />ia1002/005 <br />on this, <br />Title Director, Campus, Compliance <br />Operations <br />(NOTE; Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal rax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />Part 1 - RECORpING OFFICE CAT. ND 600261 <br />