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05/05/2010 WED 15:41 FAX 402 471 4429 UCC SECRETA1tY Olr STATE ~~~ Hall <br />--*~- <br />9607 <br />Form bb8 (Z) <br />cRev. to-soaol <br />Department of the Treasury -Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: Serial Number Far Use by Recording Office <br />SMALL SU52NESS/SELF EMl?LpYED AREA #4 He s.e er St~4e aar,~ n ease _ ucc cnF'rG <br />Lien Unit Phone: (800) 913-6050 606992909 <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Cade has satisfied the taxes listed b®low and all statutory <br />additions. Therefore, the lien provided by Cade section B321 for these taxes and <br />additions has been released. The proper officer in the office 'where the notice of Pas: t <br />internal revenue tax lien was filed on December 22 99106z6a08-a <br />2009 , is authorized to note the books to show the release of this lien for ~Ri~d~'®si"osi2eto ozNa3 PI7 <br />these taxes and additions. <br />Name of Taxpayer <br />MICHELLE ANN GRINNELL <br />Residence 12 0 8 WARREN LN <br />GRAND ISLAND, NE 68801-3869 <br />201003040 <br />COURT RECORDING INFORMATION: <br />Liber Page o. Serial No. <br />n/a n/a' 9909614903-1 200910063 <br /> Tax per a Date of Last Dayy far Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refiling of Assessment <br />feJ (bl (cJ fdl (gJ ffl <br />941 12/31/2003 47-0$42029 OS/05/2008 06/04/2018 <br />941 12/31/2003 47-0842029 09/0$/200$ 10/08/2018 359.88 <br />944 12/31/2006 47-0842029 05/05/2008 06/04/2018 360.11 <br />*~******~e********~*~*****~*~*~***~**,r***~***~{************~~************,r** <br />Place of Filing <br />Register of Deeds <br />Ha11 POSOX 1.692 <br />Grand Island, NE 68802-1692 <br />Total ~ $ 719.99 <br />This notice was prepared and signed at <br />the 21st day of April <br />Signature <br />CHICAGO, IL <br />2010 <br />i~J003/003 <br />vn this, <br />Title Director, Campus Compliance <br />Operations <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is nor essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form bb8 (Z) IRev. 10-2000) <br />Part 1 • RECORDING OFFICE CAT. NQ 600261 <br />v <br />