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07/06/2011 WED 14:50 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ 9a11 <br />2011, <br />. <br />3 592 Department of the Treasury - Internal Revenue Service � <br />Form 668 (Z) � o�. �. 0 5 0 0 3 <br />�R.v. ,aZ�, Certificate of Release of Federal Tax Lien <br />Area: Serial Number <br />SMALL BIISINESS/SELF EMPLOY&D AREA #4 <br />Lien Unit Phone: (800) 913-6050 750854711 <br />i certify that the following-named taxpayer, under the requiremer�ts of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes .listed below and all statutory <br />additions. Therefore, the Oen provided b,y 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 February 16 <br />2 011 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. � <br />Name of Taxpayer <br />TERRY A RAWLINGS <br />Residence 1733 S BLAINE ST <br />. GRAND ISLAND, NE 68803-6152 <br />COURT RECORDING INFORMATION: <br />Liber Page U . Serial No.' <br />n/a n/ 9911651626-3 201101468 <br />Kind of Tax � Ending <br />r� s� <br />991 <br />R1 10:51 RM <br />Date of Last Day for linpaid Balance <br />Assessment Refil6�g of AueumeM <br />1040 12/31/2004 XXX-XX-0360 12/08/2008 O1/07/2019 41473.12 <br />1040 12/31/2006 XXX-XX-0360 05/'11/2009 06/10/2019 30671.44 <br />1040 12/31/2007 XXX-XX-0360 05/24/2010 06/23/202.0 22521.87 <br />****�*�* *******�*,� ,�***�**,�*�*,t* **,�*****�,� *****�***�r�* ********�*�r**�*�e <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total �$ 94666.43 <br />This notice was prepared and signed at <br />the 22nd day of June <br />Signature <br />CHICAGO, IL <br />�005/008 <br />, on this, <br />Titfe Director, Campus Compliance <br />Operations <br />(NVl �: c:ert�flcate of officer authorized by law to take acknowledgmenis is not esseMial to the validity of Certificate of Release of <br />Federal Tax lisn Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />' Part 1- RECORDING OFFICE �AT Nn ann7a7 <br />