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06/08/2010 TUE 13:39 FAX 402 471 4429 UCC SECRETARX OF STATE -~~~ Ha1.1 <br />--*-- 8$D1 <br />Form bb8 (Z) <br />cRe~. ~o-zoool <br />Department of the Treasury -Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />_..... _ <br />Area: <br />Serial Number <br />Far Use b Recardin Office <br />SMALL BUS2NESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: X800) 9J.3-6050 ~(~~~.~~~04 NE 5sa of S!p!a Jahn R Gala - l1CC [RFTL <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue taX Ilen was filed on ~~ tember 20 9910629425-7 pss: 1 <br />HRDENFELDT RICKY L <br />20.01 , is authorized to note the books to show the release of this lien for Filed: 06/08/2010 09:04 RM <br />these taxes and additions. <br />Name of Taxpayer <br />RICKY L HADENFELDT <br />ResidenceP O SOX 1691. <br />GRAND xsLAND, NE b a s oz 2 010 4 3 9 5 4 <br />COURT RECORDING INFORMATION: <br />Liber Page U Ser%a~. No. <br />n/a n/a 9901167443- 200109540 <br /> Tax Period Date of .Last Da~r far Unpaid Balance <br />Kind of Tax landing Identifying Number Assessment Refiling of Assessment <br />a b) c d e f <br />1040 12/31/x995 XXX-KX-1S44 12/2$/199$ D1/27/2DD9 12503.99 <br />1040 12/31./1996 XXX-XX-1544 12/21/199$ 01/20/2009 6774.24 <br />1040 12/31/1998 XXX-XX-1544 09/25/2000 10/25/2010 415.33 <br />*,~~**~** *****~**** ***w*~**,r**** *a~******** ***,r***~**** **************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Tatal $ 19693.56 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the 26th day of May <br />Signature .H <br />Title Da.rector, 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 lax lien Rev. Rul. 71-466, 1871 - 2 C.B. 4091 Form b613 (Z) (Rev. 10-2000) <br />Part I -RECORDING OFFICE CAT. NO 60261 <br />Omaha, NE <br />207.0 <br />X005/007 <br />on this, <br />