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03/15/2010 FtON 15:35 FAX 4p2 471 4429 UCC SECRETARY OF STATE ~~y Hall <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> 3592 Department of the Treasury -Internal Revenue Service <br />Form 668 (Z) Certi~iwte of Release of Federal Tax Lien <br />(flev. 10-200p) <br />Area: Serial Number For Use by Recordin Office <br />SMALL BUSINESS/SELF' EMPLOYED AREA #4 <br />Lien Unit Phone. (800) 913-6050 615455410 <br />NE fac a~ f!a!a Jahn A 6a1• - UC[ [RFTL <br /> <br />I certify that the following-named taxpayer, under the.requirements of section 6325 (a) <br />of the Internal Revenue Gode has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provid®d by Coda 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 Januar 20 ggt®BZ28ms-z P9°` f <br />2 010 , is authorized to note the books to show the release of this lien for p1EYER 57EVEN E <br />08/16/2010 09:40 RI'I <br />these taxes and additions. Flled: <br />Name of Taxpayer <br />STEVEN S MEYER 2 0 i ~ ~ i~ 2 9 <br />Residence4156 IOWA AVE <br />GRAND ISLAND, NE 68803-1151 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/a 9910617358-0 '0201000444 <br /> Tax Period Date of Last Dayy for . Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment ~ Refiling of Assessment <br />(a), (b) c d ® f) <br />941 09/30/2006 84-1643846 09/28/2009 10/28/2019 493D.86 <br />941- 09/30/2009 84-1fi43846 12/28/2009 01/27/2020 1014.01 <br /> <br />Place of Filing <br />Total ~$ 5944.87 <br />This notice was prepared and signed at <br />the 03rd day of March <br />CHICAGO, IL <br />2010 <br />I~onz/oo3 <br />on this, <br />Signature ~ ~ ~r~ I Title OperationsCampus Compliance <br />(NOTE: Certificate of officer au[horized 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. 10-20D0) <br />Part 1 -RECORDING OFFICE GAT. NO fi00267 <br />