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04/04/2012 WED 15:22 FAX 402 471 4429 UCC SECRETARY OF STATE -�-�-� 8a11 <br />� <br />CHICAGO, IL <br />--�-- <br />- 3592 Department of the Treasury - Int�mal Revenue Service <br />Form 668 (Z) �ertificate of Release of �ederai Tax �.ier� <br />cRa�. �a2oao� <br />Area: Serial Number For Use t <br />SMALL BIISINESS/SELF EMPLOYED AREP� #4 <br />Lien Unit Phone: t800) 913-6050 619880510 <br />1 certify that ihe following-named taxpay�r, under the requfrements of section 6325 (a) <br />NE See of 54ale John H �a1e � UCC [HFiL <br />of the Interr�al Re�enue Code has satistied the taxes listed below and all statutory <br />additioras. Therefore, the lien provided by Code section 6321 for these taxes and <br />additians has besn released. The proper qfficer in the office where the notice of . <br />intemal revenue tax lian v�rss filed on February a2 <br />� 2010 , is authorized to note th� books to show the release of this lien for <br />these taxes and additions. 99i2689287-9 Pas� � <br />HRMID MOHAMED T <br />Name of Taxpayer Filed aaima�zmtiz te:2s aa� <br />MOHAMED T HAMZD 2 012 0��� 3 <br />Residence213 S CEDAR STREET � <br />GRAND ISLAND, NE 68801 <br />COIIRT RE.CORDING INFORMATION: <br />Liber Page II Serial. No . <br />n/a n/a 991061864?-4 201000750 <br />Tau Period 6ate af L�st Day for <br />Kirtd of Tax Ending Identifying Alumber Assessment �fili�ag <br />l�npaid �albnce <br />m� l�ssessnme�et <br />104Q I 12/31/20U8� XXX-XX-1892 �11/16/2009f 12/16/2019 � 6570.31 <br />***�****��*******�*,� �r*�r�r*�r�*�***� **�*,t*****�{�,��*��,��,��x** �,��*,�,�,��ka�,xa:��,�� <br />Piace of Filing <br />Register of Deeds <br />Ha11 POBOX 1692 <br />Gra S 68802-1 <br />Total ($ �574.8? <br />This notice was prepared and signed at <br />the 2lst day of March <br />Signature <br />2012, <br />�oo3/oa4 <br />, on th4s, <br />Title Di.rector, Campus Camgliaiice <br />Operatioils <br />I(NOTE: Certificate of officer authorized by law to take acknowiedgments is not essential to the valid�ty ot ceruncate ov neir�ase ot <br />! Federal Tax lien Rev, Rul. 71-A�66, 1971 - 2 C.B. 409! Form 666 (Z) IRev. 10-2000) <br />Part 1- REtORDING OFFICE L.r�T, :�r� ���261 <br />