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il/29/2011 TUE 15:21 FAX 402 471 4429 UCC SECRETARY OF STATE ��� 8a11 <br />li <br />4152 HARTFORD ST <br />GRAND ISLAND, NE. 68803-2255 <br />Name of Taxpayer <br />SCOTT A REDWINE <br />Residence <br />Liber <br />n/a <br />COURT RECORDING INFORMATION: <br />e Serial No. <br />a 911660964-0 201103491 <br />Office <br />John q Gale - UCC IdFTL <br />p9s: 1 <br />a <br />D11 01:17 PM <br />Tax Period Date of Last Day for llnpaid Balance <br />Kind af Tax ,Ending Identlfying Number Assessment Refii'mg of Assessment <br />(al (bl fc! �d/ (e1 (fl <br />1040 12/31/2004 XXX-XX-0755 04/04/2011 05/04/2021 4162.83 <br />****** **�*�****** ************* ,�******�r�* ********,t�** *�x******��******� <br />Place of Filing <br />Register of Deeds ' <br />Hall POBOX 1692 <br />Gran Island NE 688U2-1692 <br />, on fhis, <br />This notice was prepared and sig�ed at CHICAGO, IL <br />the 17th day of � N ovember 2011 <br />, <br />Signature <br />.. C <br />Cat.'No. 24586T � <br />3592 Department of the Treasury - Internal Revenue Service <br />Form 20916(c) � <br />Withdrawal of Filed Notice of Federal Tax Lie� <br />Area: Serial Number For Optlona/ Use <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 777513911 NE Sec or s�a�e <br />1 certify. that the fo�owing-named taxpayer has met one or more of the elem�ts <br />of the Intereai Revenue Code (IRC) section 6323(j). T6e I�ernal Revenue Service <br />therefore withdraws the Notice of ��eral Tax Lien for t6cse tax� and additions. <br />The withdrawal of this notice of lien does not affect the statntory 11en provided <br />by iRC sect8on 6321; h simply relinquishes any 6en prlority o6wined by the Internal � <br />Revenue Service when the notice was filed. The proper official, ln the office where 9911678054 <br />the Notice of Federal Tax Lien was filed on Ma 0 6 2 011 , Rmwic� scon <br />is authorized ta update the records to show e drawal o the no ce of p,11 Filed: 11/29/ <br />for these taxes and ad ditYons. <br />Title Director, Campus Compliance <br />Operations <br />. � Part 1 - Retording Office <br />�01�08954 <br />f�ooa/ooa <br />Total � $ � 4162 . 83 <br />Form 1 0916(c) cRed. � o-z000� <br />�� � <br />