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12/05/Z011 MON 14:47 FAX 4p2 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />1 L <br /> � --*-- — — <br />3583 Department of the Treasury - Internal Revenue Service <br />Form 668 (Z) Certificate of Release of Federai Tax Lien <br />�Re�. io-z000) <br />Area: Serial Number For Use 1 <br />SMALL BUS7NESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 626322810 <br />Register� of Deeds � � <br />Hall POB01� 1692 <br />Grand Tsland, NE 68802-1692 <br />NE Sec of Stale Jobn p Gele - UCC [RFTL <br />I certify that the following-named taxpayer., under the requirements o# sectioa 6325 (a) <br />of the Internal Revenue Code has satisfi�d the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has be�n released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on Maz'ch 02 99ti678473-9 Pgs: i <br />2010 , ts authorized ta note the books to show the release of this lien for CaMPEAN RICHARD <br />these taxes and additions Filed: 12l05/2011 �t:ae wh <br />Name of Taxpayer <br />RzcxAxn cor�r� 2 01 � 0 9101 <br />Residence 2 3 2 3 BELLWOOD DR TRLER 13 6 . <br />GRAND ISLAND, NE 68801-0000 • <br />COURT RECORDING INFORMATION: . <br />Liber Page Serial No. � <br />n/a n1a 9910621117-6 201001338 <br />Tax Period Date of Last Da�y for Unpaid 8alance <br />Kind of Tax Ending Identi�ng Number Asscssment Refiling of Assessment <br />(a1 (b l�7 fd1 �1 (fl � <br />1040 12/3Ij2000 XXX-XX-7605 07/31/2006 OS/30/2016 � 8684.35 <br />1040 12/31/2001 XXX-XX-7605 07j31/2-006 08/30f2016 9558.35 <br />1040 12/31/2Q02 XXX-XX-7605 07/31/2006 08/30/2016 17374.89 <br />*�x*****� **��r***,�** *,�**,�******�* *********� �r*�******,��r* �,�*�t�**�******,x* <br />Place o.f Filing <br />This notice was prepared and signed at <br />CHICAGO, IL <br />^ � P�o�.Etnbe=� ���.1 <br />u�e �__ �ay o� , <br />Total � $ <br />�ooa�ooa <br />35617..59 • <br />_ , 011 thiS, . . <br />Signature . ��� . . . "fitle Director, Campus Compliance <br />Operations <br />' (NOTE: Certif(cate of officer authorized by lavir to take ecknowledgments +s not essential to th'e'validity of Certiffcate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) � . Form d68 (� (Rev. 10-2000) <br />' � � ' � Part 1 - R�COItDMG OF'�ICE � • � CAT. NO 600261 . <br />