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11/22/2010 MON 15:38 F�x 402 471 4429 UCC SECR�TARY OF STATE ��y Hall <br />� T ��,_ * _ ,'�_ <br />�orm 6b8 (Z) <br />����. ,o-��o► <br />�� g� �epartment of #he Treasury - Internal Revenue Service <br />Certif tate of Release of Federal Tax Lien <br />Area: Serial Number <br />SMALL $USINESS/SELF EMPLOYED ARFA #4 <br />Lien Unit Phane (800) 91.3-605q 563494609 <br />i certify that the fpllowing-named taxpayer, under the requirements af sectiqn 6325 (a) <br />of the Internal Revenue Gode has satisfied the taxes Ilsted below and all statutory <br />additions. Therefare, the lien provided by Code section 6321 for thase taxes and <br />additians has besn released. The proper afficer in the ofFice where the notice of <br />internal revenue tax lien was filed on Jul 21 <br />2 0 0 9 , Is authorized to note ths boaks to shdw the releasa of this lien for <br />these taxes and additions. ' <br />Name ot I axp8yer <br />DAVID THOMPSON <br />Ftesidenee 511 E 13TH ST <br />GRAND ISLAND, NE 58801-3876 <br />COURT RECORDING INFORMA,TTON; <br />Li.ber Page UCC No. Serial No. <br />n/a n/a. 9909602623-3 �009�5991 <br />Klnd of Taac <br />1040 <br />�Q40 <br />******* <br />Place of Filing <br />2oioos�4� <br />Tax Period Date af I.ast Day For llnpaid Balance <br />Fa�ding [dentiiy�ng Nam6er Assessmene Refiling af Assesxment <br />(bl (cl !dl !e1 (fJ <br />12/31/2Q02 XXX-XX�0229 10/31/2Q05 11/30/2Q15 8509.86 <br />�.z/��./200� xxx-xx-o�z� OS/1J�/2008 o9/�n/aa�.s � ��5�.�� <br />�*******+* *****,�******* ****�**�*�w *�********** **********�***** <br />Regist�er of Deeds <br />Hall POSOX �692 <br />Gran xsland, NE 68842-1692 <br />USE <br />NE Sec af St�b John R 6ale - 11CC CRRT4 <br />99�awa3�ai-� Pas: 1 <br />THDMPSON qAVID <br />Filed: 11l22/2010 09:08 AM <br />Tata� �$ � 3 q 6 5.18 <br />This notice was p�epared and signed at <br />rhe 10th dey afi November , 2010 <br />Signature <br />CH�CAGD, TL <br />�004/007 <br />, an this, <br />Title Directar, Campus Compliance <br />�perations <br />(NV�t: L'ertificate of afficsr suthorized by law to take acknowledyments is not essential to the vslldity af Certificata af Release of <br />Fedaral Tax li�n Rev. Rul. 71-466, 1971 - 2 C,B, 4p9� Farm 6G8 (x) IRev, 10-20Q0� <br />Part 1- RECORpING QFFIC� � CAT. NQ BOQ261 <br />