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Area: SMALL BUSINESS /SELF EMPLOYED AREA #4 Lien Unit Phone: (800) 913 -6050 Serial Number 604556809 For Use by Recording Office I certify that the following -named taxpayer, under the requirements of section 6325 (a) ses of See /v John A bale . UCC c am of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of internal revenue tax lien was filed on December 15 2009 , is authorized to note the books to show the release of this lien for 9913717110 FLORE - 3 Pgs these taxes and additions. Filed: 066 /18/i8 /2013 09:33 AM Name of Taxpayer JESUS J FLORES Residence 1415 W LOUISE ST GRAND ISLAND, NE 68801 -6430 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. n/a n/,ar 9909614268- 200909842 Date of - _ Last Day for Unpaid Balance lax Period Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (,e (f) 1040 12/31/2004 XXX -XX -6881 10/02/2006 11/01/2016 1525.98 ******* * * * * * * * * * * * * * *w * * * * * * * * * * * * * * ** • Place of Filing Register of Deeds Hall POBOX 1692 Total $ 1525.98 Grand Island, NE 68802 -1692 06/18/2013 TUE 15:03 FAX 402 471 4429 UCC SECRETARY OF STATE -. -- Hall orm 668 (Z) ,, (Rev. 10 -2000) 20/304857 3595 Department of the Treasury - Internal Revenue Service Certificate of Release of Federal Tax Lien IU003 /003 This notice was prepared and signed at CHICAGO, IL , on this, the 05th , of June 2013 Signature Title Operations Manager, Centralized Case Processing -Lien Unit (NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) Part 1 - RECORDING OFFICE CAT. NO 600261