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ii/o3�zoio a�n i5:is ��x aqz a�i 4429 �cc s�c��rAxY oF STAT� ��� �a�� <br />zo�,a <br />� i <br />3592 <br />Department vf the Treasury - Intemal Revenue Service <br />Certif cate o�' Release o�' Federal Tax ����* <br />NH 5se vf i!a!o Johh p Q��� . YC[ CqFTL <br />--*-- <br />Fnrm bb8 (Z) <br />�Ra�. � az000� <br />Area: Serial Number F <br />WAGE & TNVESTMENT pRgpi #2 <br />Lien lJnit Phone: (800) 913-605q 390260563 <br />I certify that the foltowing-named taxpsyer, under the requirements of section B32b {a) <br />of the tnternal Revenue Code has satisfied the taxes listed below and all st�tutory 891064Z016-7 p� � <br />additians. Therefore, the tien provided by Code section $321 for these taxes and �lad� i�j/� 12,�6 P � <br />additions has baen released. 7he proper officer in the office where the notice of <br />internal revenue tax lien was filed on August 2$ <br />� d �� , is authorized to note the books to show the release of this lien for <br />thase taxes and additions. <br />Name of Taxpayer <br />CHARLES P ARNOLD <br />509 THEBE <br />Residence PO SOX 611 <br />CAIRO, NS 6$824-0611 <br />COURT RECnRDZNG TNFORMATION: <br />Liber Page IICC N. Serial No, <br />n/a n/a 9 2233312- 2UO209Q65 <br />Tax Period Date of <br />Kind of Tax Ending Identlfying Nurnber Assessment <br />zoloos�o� <br />Last DaY far � llnpaid Balance <br />Re�il�ng of A�s�samenC <br />1040 ].2/31/1996 XXX-XX-3499 09/13/19.99 1� 13/2QQ9 4459.U4 <br />1040 12/31/1997 XXX-XX-3499 07/Q3/2000 08/q2/2010 4726.78 <br />1040 12/31/1998 XXX-XX-34gg 7.1/13/2000 1Z/13/2QX0 1419.60 <br />ar*��**** ,r*****�*** **�r*�*ar****** ********** **,r********* ***********��a�*�r <br />Place of Filing <br />Register of Deeds <br />Ha11 POSOX 1692 <br />Grand Island, NE 68802-1692 <br />Total I$ 10505.42 <br />This natice was prepared and signed at <br />the �-gth day af October <br />Signature <br />Omaha, NE <br />�OD4/006 <br />, an this, <br />Title Director, Campus Compliance <br />Oper.ations <br />(NC71 C: Certitic�t@ of officer authorizad by law ta taka acknowledgments is not easential to the validity of Certificate of Rele�se of <br />Federal Tax Ifen Rev. Rui. 71-466, 7971 - 2 C.B. 4091 Form 668 (Z) (Rev. 10-2000) <br />Part 1- R�CORDING �FFICE CAT. NQ BOp261 <br />•• UV ;. . <br />