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Q7/19/2011 TU� 16:1Q FAx 402 471 4429 UCC SECRETAitY OF STATE �y� Hall I�002/QQ2 <br />201105315- <br />� �orm 668 (z) <br />tRe�. �a2ooa� <br />3592 <br />Department of the Treasury - Internal Revenue �Service <br />Certificate of Release of Federal Tax Lien <br />Area: . Seriai Number For Use i <br />WAGF & INVES'I'NlENT ARIs'P� #2 <br />Lien Unifi Phone: i8o0) 913-6050 193751604 <br />I certify that th� followin$-r�amed taxpayer, under the requirements of section 6325 (a) <br />of the Irrternal Revenue Code has satisfied the taxes Ilsted below and all statutory <br />edditions. Therefore, the lien provided by Code section 6329 for these taxes and <br />additions has been released. The proper officer in the office whe�e the notice of <br />intema{ revenue tax {ien was filed on OCtObBx' 07 <br />2004 ., is authorized to note the books tv show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />DONALD P HAUSS£RNfANN' <br />Residence 4 954 W HWY � 3 0 7 <br />ALDA, NE 68810-0025 <br />COURT RECORDING TNFORMATION; <br />Liber Page IIC Serial No. <br />n/a n�a 904354085-0 200409920 <br />Tau Period � <br />Kfisd of Tax Ending lden <br />Register of Deed� <br />Hall POBOX 1692 <br />Grand Ssland, NE 68802-1692 <br />].040 12/31/1997 XXX-XX-4361 08/13/2001 09/12/2011 1370.49 <br />].040 12/31/1998 XXX-XX-4361 06/04/2001 07/04/2011 926.12 <br />1040 12/31/1999 XXX-XX-4361 06/04/2�01 07/U4/2�11 2581.57 <br />*�r*�r*�r*�t **�r***,r*** **,t*�r�r�r*�r*��t* *****�r�c*** *,r�x*�r**,��t�r** **�c****�t**�r�r+t*** <br />� <br />� <br />i <br />i <br />r. <br />� <br />i <br />! <br />i <br />; <br />Piace ot Filing <br />Total �$ 4878.18 <br />This notice was prepared and signed at <br />the 10th day of July , 2011 <br />Signature <br />Title Director, Campus Compliance <br />Operations <br />(NOTE: Certlficate of offfcer authorized by law m take acknowledgments (s not essential ta the vaijdity or c:erancate or ne�easa vr <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) lRev. 1 Q-2�00) <br />, paTt 1 - RECORDlNG OFFICE CAT. NO 600261 <br />Date of I.a�t Day for I Unpaid Balance <br />Ass�ssment Refiling of Asseument <br />CHICAGO, TL <br />, on this, <br />0 <br />� <br />