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06/08/2010 TU8 13:40 FAX 402 471 4429 UCC SECRETARY pF STATE yyy Hall <br />2010 <br />a 8801 Department of the Treasury -Internal Revenue Service <br />Form 668 (Z) Certif Cate of Release of Federal Tax Lien <br />(Rev. 10-2000) <br />Area: Serial Number For Use b Recordin Office <br />SMALL BUSINESS/S~aI,F EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-605D 604556909 Ne sQ~ er Stnto ,onn a e,,a . ucc [RfTL <br />I certify that the following-named taxpayer, under the requirements of section 6$25 (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 on December 15 991®azs4z6-s pas; ~ <br />2009 , is authorized to note the books to show the release of this lien for F~led~N06/06%2010 09:04 AM <br />these taxes and additions. <br />Name of Taxpayer <br />MICHAEL D JOHNSON <br />F(esidence519 W 13TH ST <br />GRAND ISLAND, NE 68801-3623 ' <br /> 201003955 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/ 9909614267-1 200909841 <br /> Tax Period Date of 'last Dayy for Unpaid Balance <br />Kind of Tax tending Identifying Npmber Assessment Refilin g of Assessment <br />If~l 6) c d a <br />' f <br />1040 12/31/2001 XXX-XX-0194 07/31/2006 08/30/2016 147Q.63 <br /> <br />Place of Filing <br />Register of Deeds <br />Ha1.1 POHOX 1692 Total $ 1470.63 <br />Grand Is~.and, NE 68802-1692 <br />This notice was prepared and signed at <br />the 26th day of MaY <br />Signature H <br />Title Director, Campus Compliaxtce <br />operations <br />CHICAGO, IL <br />~006/p07 <br />on this, <br />(NOTE; Certificate of ofFicer authorized 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) Farm 668 (Z) (Rev. 10-2000) <br />Part 1 -RECORDING OFFICE CAT. NO 600261 <br />