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��� �all �j0031004 <br />Q6/09/2012 l40N 15:24 FAX 402 471 4429 UCC SECRETARY OF STATE ��������`� <br />r9 <br /> " Form 10916 c <br />tRev. t a2000j t ) <br />592 . Department of the Treasury - Interna4 Revenue Service <br />1Mthdrawal of Filed Notice of Federal Tax Lien <br />Area: Serial Number Fo� Optiona! Use , <br />SMAT�L BUSINES3jSELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 654293610 <br />1 certify that the fotlowing-named Wxpayer has met ode or more of the etements <br />of the imernal Revenae Code (IRC) sec�on b323(�). The l�ernal Revenue Service <br />therefore withdrainrs the Nodce of Federal Tauc lalen for rhese tax� and addidvns. <br />The wtthdrawal of t�uls no�te of Den does not affect the sta�tory lien provtded <br />by IRC sectlon 6321; it simply relinqais�s any lien priority obwined by the Internal <br />Revenae Service w6en ths nodse was filed. The proper offQdal, in tl�e otfice where <br />the Atotice of �ederal Tax Lien was tiled oo Ma 21 2 d 1 d <br />is aathorized w update the records to show e awal af the no ce � <br />for th�e Wxes and add'i�ons. <br />.. _ � -..— — - --- <br />ROGELIO FUENTES <br />Residence <br />Liber <br />n!a <br />lC�nd of Tax <br />1603 W JOHN ST <br />GRAND ISLANI7, NE 68801-6322 <br />COQRT RECORDING INFORMATION: <br />e UCC No. Serial �To. <br />a 9910627949-5 201003498 <br />Tax Per�od Date of <br />Ending Identdjring Namber Assessment <br />. : <br />Last Day for { Unpaid BaWnce <br />Refiting � of Assessment <br />1040. 12/31/2002 XXX-XX-6616 02j27/2006 03/28/2016 4317.63 � <br />1040 12/31/2003 XXX-XX-6616 02/27/2Q06 03/28/2016 11016.69 <br />1040 12/31/2004 XXX-XX-6616 12/OS/2008 01/07/2019 15806.35 <br />1��40 12/31j2006 XXX-XX-6616 11/16/2009 12/16/2019 11956.33 <br />�a��r�*� �**,�****�r** ****�r*�r,�***** *t�r**�r*,r�r,� �,�*�a��*a�*�r*�r ��r�r�*�r�t*�t*�*t***,� <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 7.692 <br />Grand Island, NE 68802 <br />Total �$ 44097.00 <br />This notice was prepared and signed at <br />the 24th day af May <br />, <br />2012 <br />Signature ^ — C �� <br />� �r � <br />Cet. No. 24586T <br />office ' <br />, on this, <br />Title <br />Operations Manager, <br />Centralized Case Processing Unit <br />�orm 10916(t) fRev. �0 <br />Part 1 - Recording Office <br />CHTCAGO, IL <br />