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Form Boo of the Treftm- kiftmel Revenale serAw <br />(Rev. Feb., M3) of Release of RW Tax Lien <br />tlratrict I Senal RUMber r-Q--WU-bVR-1 *W Offibe <br />Omaha 47 $2750 05C 864 <br />1 MW thatilis to the following-named taxpayer Otte requirement., of section 6325 01643, <br />(a) of fthe lhnt*W R emus Code have been; sNOW W the taxes listed below and <br />for an Sint additions. Therefore, the lion section 6321 for <br />U* provided by Code <br />these tax" aid additions has been released. T?W'Proper officer in the office where <br />the notice of internal revenue tax lien was filed on 7/12/85 <br />19— is authorized to note the books to show the release of this lien for these <br />taxes and additions. <br />Name of Taxpayer <br />Hermes, Frank J. A Joan 14. <br />Residence 1405W. Koenig <br />Kind of Tax <br />ex <br />Tax Period <br />Ended <br />Identifying Number <br />0090f <br />Ameawnent <br />Lao Day for <br />Refrying <br />UnpaidlBelence <br />of Asseawnent <br />(b) <br />(C) <br />(d) <br />1040 <br />12-31-81 <br />480-28-0755 <br />;10 -08 -84 <br />11-07-90 <br />1$ 1,136.01 <br />1040 <br />12-31-82 <br />04-22-85 <br />05-22-91 <br />883.18 <br />Place o ding ., <br />Relipter of Deeds 13 <br />H&J-11 40unty Grand Island, Nebraska 6 8 8TMMl $ 1 019.19 <br />This 11rtificate was prepared and signed at Omaha, Nebraska <br />on this, <br />the- -vwl% <br />25thda-Z - yof March , 19 86 <br />� <br />— - - - --K- -LI <br />Donald J. E Chief, Special. Procedures <br />(NOTE: Cwtftm Of Offic0raighorized bylaw to take acknowlodotnenis is not essential to the validity ojC6rtjhCSr@ of Ralasss of Federal T&)r Lim <br />Rev. Rul. 71-48E, 1971-2, C.S. 409) <br />Form SWC) (Rev. 2-83) <br />