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12/07/2011 WED 15:28 FAx 4p2 471 4429 UCC SECRSTARY OF 5TATE -�-�� 8a11 <br />i�, <br />� 3592 Oepartment of the Treasury - Interna! Revenue Service <br />Form � 04 t atc� �thdrawal �f �ited Notic� of Federal Tax 1.ien <br />�Re�. �o-z000� <br />� Area: Serial Number For Optional Use <br />SMALL BUSINE3S/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 775424411 <br />1 certiFy that the following-named tannRayer 6as met one or more of the �ements <br />uf the Internal Revenue Code (1RC) section 6323�). 76e lnt�nal Revenue Service <br />therefore w�thdraws the Notice of Eederal Tax I�ea .for these taxes and additions. <br />The withdrawal ot this nodce of lien does not affect tbe statatory lien . provided <br />by IRC sectiion 6321; it simply re(inqc�ishes a�ry �en priority obtained by the Internal <br />Revemue S�vi►ce when th� nodce was �{. T6e pro�r official, in the office where <br />Ehe Nodte of Federal Tax Lien was filcd on A ri 1 2 5 2 Q 11 , <br />� is authorized to . apdate the records to show the .w� aw of e noace o <br />for tNese tax� and additfions. <br />Name of Taxpayer <br />SCOTT A REDWINE <br />Residence 4152 HARTFORD ST <br />GRAND TSLAND, NE 68803-2255 <br />Oftice <br />•••. ca H17 <br />COURT RECORDING INFOi2MATION: <br />Liber Page Serial No. . <br />n/a n a 9911659769=3 201103099 <br />Tax Period Date of � Last p�ay �or Unpaid Balancc <br />Kind of Tax Ending Identdying N�ber Assessment [tefiling of Axsessment <br />(�1 (b c) � i�) (e) �1 <br />1040 12/31/2005 XXX-XX-0755 03/21/2011 04/20/2021 3640.25 <br />�*,�*a�* �****,r***,�* *�*,�****�r***� ,�*�*�x***** ,�***�,�**,�*,�� ��,�**�*��**,t�r�,�*� <br />Place 'of Fifing <br />Register�of Deeds • <br />�iall POBOX 1692 • <br />Gran.d Island, NE 68802-1692 <br />�003/003 <br />201iA9233� <br />Total � $. <br />•364a . 25 • .. <br />_ , on this, <br />This notice was prepared and signed at <br />the �� day of November 2 <br />� <br />Signature � <br />. � <br />Cet. No. 24586T <br />Title Director, Campu�s Compliance <br />..Operations . � . � <br />6 <br />� ' Form � 0916(c) cRe�. � o-a000� <br />Part • 1 = Recording Office � • • _ • . � <br />CHICAGO, IL� <br />