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02/23/2012 TBU 15:04 FAX 402 471 4429 UCC SECRETARY OF STATE �-�-� Hall <br />Area: Serial Number <br />SMALL BUSIIVESS/3ELF EMPLOYED AI2EA #4 <br />Lien Unit Phone: (8003 913-6050 590399409 <br />1 certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additior�s. Therefare, the lien provided by Code section 8321 for these taxes and � <br />additions has been released. Tha proper officer �n the office whe�e the notice of ' <br />internal �evenue tax lien was filsd on - OCtOber 27 <br />2 0 0 9 , is authorized to note the books to show the release of this lie� for <br />these taxes and additions. <br />--'�'—� <br />�orm 668 (Z) <br />(Rev. 10-2000i <br />3592 Department of the Treasury - i�ternal Revenue Service ' <br />C�rti�cate of Release of Federal Tax l.ien `� o� 2 n 14 ��. 6 <br />Name of Taxpayer <br />CHRISTINE R PUENTE <br />Residence 23 2 S PLUM <br />GR.AND ISLAND, NE 68801 <br />COURT RECORDING INFORMATION: <br />Liber Page U Serial I3o . <br />n/a n/a 9909610582-5 204908581 <br />Tax Period <br />Kit�d of Ta�c Ending <br />�003/003 <br />. ucc cprn <br />P9s: 1 . <br />! A�1 <br />Date of � Last Day for I Ur�p�id �ala�ce <br />Assessment Refil�ng of A;s�sssnrr�nt <br />1040 12/31/2004 XXX-XX-3169 08/18/2008 09/17/2018 4138.42 <br />1040 12/31/2005 XXX-XX-3169 08/18/2008 09/17j2018 9998.'l1 <br />].040 12/31/2006 XXX-XX-3169 05/11/2009 06/10/2019 8257.50 <br />,r�*�r**** ****��**�* �****�*,�*�**�r ***,�***,��* *�***�r�r***** *�*�r,r,�**�r*��,�ar,r,� <br />Place of Filing <br />Register�of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 6 <br />Total �$ 22394,03 <br />This notice was prepared and signed at CHICAGO, IL ,�on this, <br />the 08th day of February , 2012 <br />Signature <br />Title Direc�or, Campus Complianc� <br />Operations <br />(N07'E: Certificete of officer authorized by law to take acknowledgments is not essentiai to tne va�wiry or �,erunca�e vr r,a��sdoe �� <br />Federal 7ax lien Rev. Rul. 77-466, 1971 - 2 C.B. 4091 Form 668 (Z) (Rev. 10-2000) <br />Part 1- RECORDING OFi10E CAT. NQ 6UA269 ��, ' <br />