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08/24/2010 TU8 10:40 FAX 402 471 4429 UCC SECRETARY OF STATE ~y~ Hall <br />Form bb8(Z~ 3592 <br />(Rev. 1U-2000) <br />Department of the Treasury -Internal Revenue Service <br />Certi~i rate of Release of Federal Tax Lien <br />~-rea: Serial Number Far Use I <br />SMALL BUSINESS/SELF EMPLOYED A12EA #9 <br />Lien Unit Phone: (800) 913-5050 605301209 <br />I certity that the following-named taxpayer, under the requirements of section 6326 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Theretore, 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 <br />2 D Q 9 is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />JAMES SLOGGETT <br />g <br />p 610 - U[C CRETE <br />Pga: 1 <br />SLOGGETT JAp1E5 <br />Fi.lad: 08/2412010 09:00 RP1 <br />201005993 <br />Residence 229 WILLOW ST <br />GRAND ISLAND, NE 68801-1321 <br />COURT RECORDING INFORMATION: <br />Liber Page U o. Serial No. <br />n/a n/ 9909614269-5 200909843 <br />Tax Pe Date of <br />Kind of T Ending ~ Identifying Number Assessment <br />~. <br />Oast Dayy for I Unpaid Balance <br />Refiling of Assessment <br />941 03/37./2008 20-5350069 06/09/2008 07 09/2018 461,74 <br />941 06/30/2008 20-5350069 06/1.5/2009 07/15/2019 7375 <br />73 <br />941 1.2/31/2008 20-5350069 04/06/2009 05/06/2019 , <br />421 <br />35 <br />941 06/30/2009 20-5350069 09/14/2D09 10/14/2019 . <br />258.19 <br />***~*~** ********** ************* ******~*~* **~******~** *******~r******** <br />Place of Filing <br />Register of Deeds <br />Hal]. POBOX ].692 <br />Grand zsland, NE 68802 1692 <br />~. <br />Total ~$ 8517.01 <br />This notice was prepared and signed at <br />the 11th day of August: <br />CHICAGO, IL <br />2010 <br />I~J008/009 <br />on this, <br />Signature ~ y ~~~~~ ~ Title Director, Campus Compliance <br />Operations <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is nat essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul, 71-466, 1971 - 2 C.B. 409) Form ba8 (Z) IRev. 10-2000) <br />Part 1 -RECORDING OFFICE CAT. NO 600281 <br />