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Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />900022212 <br />For Use by Recording Office <br />NE <br />9913717534 <br />OROZCO <br />Filed: <br />Sec of <br />Skate <br />RAFAEL <br />06/26/2013 <br />-1 <br />John <br />A Gale <br />01:25 <br />- UCC <br />Pss <br />PM <br />f <br />: <br />I certify that the following -named taxpayer, <br />of the Internal Revenue Code has <br />additions. Therefore, the lien provided <br />additions has been released. The <br />internal revenue tax lien was filed <br />2012 i s authorized to note <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory_ <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on October 29 <br />the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />RAFAEL OROZCO <br />RAFAS TACOS <br />Residence 2105 NASHVILLE <br />GRAND ISLAND, <br />C <br />Liber Page C No. <br />n/a n/ 9912701849 <br />ST <br />NE 68803 -1539 <br />ORDING <br />INFORMATION: <br />No. <br />Serial <br />-8. 201209041 <br />Kind of Tax <br />(a) <br />` T Period <br />(b) <br />• <br />entifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refilmg <br />le) <br />Unpaid Balance <br />of Assessment <br />(f) <br />940 <br />********** <br />12/31/2010 <br />llr** k* ** * ****** <br />27- 0018371 <br />**** *****.r***** <br />04/16/2012 <br />** ***** <br />05/16/2022 <br />***** * **** *4** <br />151.38 <br />* * * * ** Irk *qtr ** ** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 -1692 <br />$ 151.38 <br />06/26/2013 WED 14:23 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />the 12th day of June 2013 <br />Signature <br />Hall <br />3758 Department of the Treasury - Internal Revenue Service <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 - 466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10.2000) <br />Pan. I - RECORDING OFFICE CAT. NO 600261 <br />2004/004 <br />Certificate of Release of Federal Tax Lien 201305118 <br />Title <br />Operations Manager, <br />Centralized Case Processing -Lien Unit <br />RFTL <br />