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03/08/2010 MON 14:54 FAX 402 471 4429 UCC SECRETARX pF STATE yyy Hall i~009/011 <br />V ~ -- - <br />3592 Department of the Treasury -Internal Revenue Service <br />Folrm 66a (z~ ~ Certificate of Release of Federal Tax Lien <br />cRw. io-zooo- <br />Area: Serial Number <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (1300> 913-6050 390370836 <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 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 an June 04 ~ <br />2 0 0 3 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />CANDI L GAFFEY <br />Residence PO SOX 421 <br />WOOD RSVER, NE 68883-0421 <br />COURT RECORDING INFORMATION: <br />Liber Page U Serial No. <br />2003 07050 9903278169-3 200307050 <br />Tax Period <br />Kind of Tax Ending <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />1040 12/31/2001 XXX-XX-5173 06/03/2002 07/03/2012 14300.05 <br />******** ********** *~*******,r**~ *~****~r*** **********,~* ************;r*** <br />Place of Filing <br />For Use <br />ce <br />NE Sic of Sksk• John R G~1^ - UC[ CRFTL <br />9910621771-2 Pys: 1 <br />GpFFEY CANPI L <br />Filed: 03I0B/2010 10:34 RM <br />Total ~$ 14300.05 <br />This notice was prepared and signed at <br />the 27th day of January <br />Signature <br />2010 <br />~oiooi~ig <br />Date of I Last Day fur I Unpaid Balance <br />Assessment Refiling of Assessment <br />Omaha, NE <br />on this, <br />Title Director, Campus Compliance <br />Operations <br />irw~ ~: L.eRiricaie or orncer autnanzed by law to take acknowledgments is oat essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 4091 <br />Part 1 -RECORDING OFFICE Form b68 (Z) (Rev. 10-2000) <br />rnr hin annoc~ <br />cep <br />