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I <br />04;'06/2001 16:43 FAX 14024714429 NEBRASKA <br />Form 12474 <br />{Rev. 11.991 <br />Z003/o03 <br />59599 <br />Department of the Treasury - internal Revenue Service U / 5 //-;, <br />Revocation of Certificate of Release of Federal Tax Lien <br />For Use by Recordin Office <br />Serial Number <br />DlsElICt <br />Omaha 479501I <br />I certify that we mistakenly Issued a certificate of of the Notice of Federal Tax Lien flied against the named below. 1 declare that the certificate of releon 2 7th June 19 9 9 is revoked and <br />lien is reinstated as provided under Internal Revenue Code <br />Section 6325(f)(2). <br />Name of Taxpayer ALVIN A BORER <br />goo lo'z97 0 <br />Residence 4102 E SUNNYSIDE DR <br />PHOENIX, AZ 85028 <br />COURT <br />RECORDING INFORMATION: <br />Liber Page UCC No <br />Serial No. <br />n/a n/a n/a <br />95- 103901 <br />Tax Period <br />Date of <br />Last Day for <br />Refilling <br />unpaid Balance <br />Assessment <br />Kind of Tax <br />Ending <br />identifying Number <br />Assessment <br />(fI <br />(a) <br />1040 <br />(b) <br />12/31/1992 <br />(c) <br />505-54 -6523 <br />(d) <br />11/15/1993 <br />(el <br />12/15/2003 <br />51279.88 <br />If <br />Place of Filing Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68602 -1692 <br />This notice was prepared and signed at <br />Omaha, NE <br />Total I$ 51279.88 <br />, on this, <br />the .23ra day of March 2001 _ <br />Signature Title <br />Co m H Technical- echnica]_ Supp ox <br />(NOTE: Certificate of offices authorized by law to take acknowledgments is not ess ntial to the lidity or Revoc i of Gertificale 12474 (Rev. Release 1 981 <br />of Fedoral Tax fen Rev. Rul. 71-466, 1977 - 2 C.S. rt I - RECORDING OFFICE COPY CAT. No 73179W <br />