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D7/20/2D10 TUB 15:45 FAX 402 471 4429 IICC SECRETARY pF $TAT$ ~~y Hall <br />X002/003 <br />~~ <br />__*__ <br />Form bb8 (Z) <br />rp~~. ,o-zooo~ <br />11953 Department of the Treasury -Internal Revenue S~ NH Sao of 5!a!~ ,a~~ a Gate - uce cnFn <br />Certificate of Release of Federal Tax <br />Area: Serial Number ~~ <br />SMALta BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 390366960 991063237'2-3 Pas: z <br />WAGONER THOMAS A <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) Ft ted: m~ize~z0~e iW: ~a AM <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory ' <br />additions. Therefore, the lien provided by Code section 8329 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 March 04 <br />2003 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name at Taxpayer <br />THOMAS A WAGONER <br />Residence 2 517 ARROWHEAD <br />201005043 <br />GRAND ISLAND, NE 6$802-1585 <br />COURT RECDRDING INFORMATION: t <br />Liber Page UCC No. Serial No. <br />2003 02559 990326094-9 200302559 <br /> <br />Kind of Tax Tax Period <br />Endipg <br />(dent <br />iifying Namber <br />Date of <br />Assessment <br />Last D for <br />R <br />~ ~ <br />Unpaid Balance <br /> <br />a <br />b <br />o1 <br />(dl e <br />i ling <br />e of Assessment <br /> <br />1040 <br />12/31/1998 <br />XXX-XX-0742 <br />OS/31/1999 <br />06/30 2009 f <br />4795 <br />64 <br />1040 12/31/1999 XXX-XX-0742 05/22/2000 06/21/2010 . <br />3645 <br />45 <br />1040 12/31/2000 XXX-XX-0'742 06/04/2001 07/04/2011 . <br />19601 <br />62 <br />1040 ].2/31/2001 XXX-XX-0742 06/03/2002 07/03/2012 . <br />7325 <br />37 <br />~******* ********** *********~*** ***,~**~r*** *~**~****~*~ . <br />,~*************** <br />Piave of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total ~$ 35368.08 <br />This notice was prepared and signed at <br />the D7th day of July <br />Signature <br />2010 <br />Omaha, NE <br />1"itle Director, Campus Compliance <br />r ~ ., r ,,., ~ •~- . . <br />~~~ ~-. ~ ie~ ~t'~i~:~:i W ~ OPerations <br />on this, <br />i,....,,~:.,n~uu~nie v~ orncer aurnonzea oy iaw 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. 4p9) <br />Part 1 -RECORDING OFFICE Farm 668 (Z) (Rev. 10-20p0) <br />CAT. NO 6p0261 <br />`~ <br />~l. <br />~~ .. <br />