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10/21/�010 TH� 15:20 FAX 402 471 4429 UCC $SCRETARY OF STAT$ �y� HaIL <br />201007801 <br />Fo�„ sss-c <br />(September 2008) <br />DepartmeM of the Treasury — Intemal Revenue Service <br />Certfficate of bischarge of Property From Federal7ax Lien <br />(Secf�On G32S(b)(2)(8) al lhe Intema/ Revenue Code) <br />�IQ03/UO3 <br />DENNIS D NELSON of 3679 N HIWAY 281, City of GRAND ISLAND, Caunty of Hall, State of NEBRASKA, is indebted to the <br />lJnited States for unpaid intemal revenue tax in the sum of Thirty Six Thausand Four Hundred Twenty Nine and Eighty Six/100 <br />Daliars (36,429.86) as evidenced by: <br />Nalice of Federal <br />7ax �,ien <br />Serial Number <br />(a) <br />1520'I 140�4 <br />$36,a29.86 <br />A lien attaching to all the praperty of the taxpayer was filed to secure the amount owed, The notice of (ien was filed with the <br />Register of Deeds, for the Caunty of Hall, and also with the Nebraska Secretary of State UCC Division, in accordance with the <br />applicable provisions of law. <br />The lien listed abnve is attached ta certain property described as: <br />Lot 2 Pulte Second Subdivisipn, Mall County, NE. <br />Locally Known As: 3579 N Hwy281, Grarrd Island, NE. <br />Recarding InlormaUon <br />(b) <br />zooa-oosas <br />UC #9904313627-1 <br />Bk. 2004 Pg, 00645 <br />Date Rewrded <br />(c) <br />01/22/2004 <br />7a�ayer ldentflfcation Nur►�ber <br />(d) <br />xxx-�t-906S <br />AmouM Shown an Lien <br />(�) <br />NE 9�R of 5l�1r JOhn 11 C�l■ - UCC F669C <br />ssi08aeeei-s Ps:: � <br />NELSON DENNIS p <br />Filed: 10/21/2010 02:16 PM <br />N�TE: Always include the address of real property or a descriptive narrative of persanal property in this section when using <br />"See Attachmen�' and a mare detailed descriptian is being attached. <br />The United States' interest in the abov described praperty under the referenced lien is now valueless. 7herefore, under <br />Section 6325(b)(2)(B) f� the Intemal R venue Code, the Internal Revenue Service discharges the above described property <br />the lie weve e lien remai s in effect for all pther property, or rights to property, to which the lien is attached. <br />Sig � � 7itle Date <br />aavid � Group Manager Technical Services <br />7 0/07/201 p <br />�(Note: Ce "' te of o e y law to take acknowledgements is not essenti�l to the validity of Discharge of <br />� Federal Tax Lie . ul. 71-466, 71-2, C.B. �409.) <br />Catalog No. 1 fi751 C Form 669-C (Rev. 9-2008) <br />;.. <br />� <br />f' <br />!- <br />i <br />