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p4/28/2011 THU 14:19 FAX 402 471 4429 UCC SSCRETARY OF STATE -�-�y Hall <br />orm 668 (Z) <br />rRe�. �azoao� � <br />�004/004 <br />3592 . Department of the Treasury - Internal Revenue Service <br />Certificate of Relea3e o� Eedera[ Ta�c Lren <br />Area: Serial Numbe� I <br />srr�,t, susn�ss/sLZ� rNrnzo�n � #� <br />Lien Unit Phone: (800) 913-6050 594728109 <br />1 cettify that the following-named taxpayer, under the requiremerrts of section 63Z6 (a) � <br />of the Internal Revenue Code has satisfied the taxes listed below arul ap statutory <br />additions. Therefore, the lien �xovided by Code se�tion 6321 for these texes and ' <br />additions hes been released. The proper officer ia the offics where the notice of <br />intemal revenue tax lien was filed on November 10 � <br />2 0 0 9 , is authorized to note the bopks to show the release of this lien for <br />thase taxes and additions. <br />AI.,...� ..i T............� <br />MARTIN L <br />Residence 317 W� STOLLEY PARR RD <br />GR.AND. ISI�1D,. NE 68801-7458 <br />,COURT RECORDING - TNFORMA.'TION: <br />Liber Page U o. Serial No. <br />n/a n/a �909611737-5 200908948 <br />Kind of Tax <br />� <br />R <br />� Date of Last D�ay far ilnpaid Balance �� <br />Idendfying Number Assessment Reflling cf Ass�sment . <br />I'cl ( d ) te) (fl .' <br />1040 12{31/2008 XXX-XX-4843 09/14/2009 10/14/2019 ' 6282.89 <br />**��t*�r*� *�x�t,�*,t��r�r* ,r****�**�rt*** �*�*�t****,t *�r***�*****�t �**,��r*�r*�,�*�r**�r** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Gr zsland, NE 68802-1692 <br />Total �$ 6282.89 <br />This notice was prepared and signed at � � IL , on this, <br />the 13th day of Apri � 2�11, <br />Signature <br />Title Director, Campus Compliance <br />, Op�rations � . <br />(NOTE: Certificate of officer euthorized by law to take ecknowledgments is not essential to the validity. of Certificate of Release of <br />Federal,Teic lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) . .� Form 668 (Z) (Rev. 10-2000} <br />'� Part 1- RECORD{NG OF�iCE CAT. NO 600261 <br />2011032�8° <br />- UCC CflFTL <br />Pss: t <br />9 AM <br />