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10/04/2011 Tt]8 15:11 FAX 402 471 4429 UCC SECRETARY OF STATE -�yy 9a11 <br />�s <br />Form 668 (Z) 18�2 Department of the Treasury - Internal Revenue Service <br />,Rey.,o.2�0, Certifcate of Release of Federal Tax Lien <br />Area: Seriai Number <br />SMALL BUSINESS/SFLF EMPLOYED RREA #4 <br />Lien Unit Phone: (800) 9].3-6050 � 492357408 <br />I certify that the following-named taxpayer, under the requirements of section 6326 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the 11en provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office whe�e the notice of <br />internal revenue tax lien was filed on November 20 <br />2 0 0 8 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. � <br />Name of Taxpayer <br />DIANNA EWOLDT <br />Residence 242 0 SHEkIDAN AVE <br />GR.AND ISLArTD, NE 68$03-1957 <br />Tax Period <br />Kind of Tax Ending Identifjring <br />COURT RE.CORDING INF'ORMATION: <br />Liber Page UC Serial No. <br />n/a n/a 90857�660-6, 0200809580 <br />Date of I Last Da_y for I llnpaid Balance <br />Assessment Refiling of Assessment <br />�003/003 <br />1040� �12/31/2005 I XXX-XX-5715 I06./05/2006I 07/05/2016 I � 7476.91 <br />*****,�*� �*�x* , �* , �***x �**�***��**�**�k,�**********I****��***�**�k�*�************� <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, .�N 68802-1692. <br />Total � $ 7476 . 91 <br />This notice was prepared and signed at � � IL <br />the -�� 21st day of September � 2011 <br />Signature <br />, on this, <br />Title Director, Campus Compliance <br />Operations _ <br />i <br />� <br />f <br />F <br />, <br />---------� <br />� <br />(NV1E: Ge►tificate ot office� authorized by law to take acknowledgmenta is not essanual to the velidity of Certificate of Release of <br />Federal Tax Ilen Rev. Rul. 71-466, 1971 - 2 C.B. 409) ' • •- Form 66B (Z) (fle'v. 1Q-2000) • <br />Part 1- RECORDING OFFlCE CAT. NO 600261 � <br />�0.114'7402 <br />