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Aug. 24. 2016 3:04PM NE Secretary of State — UCC Nc.7826 <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 913 - 6050 <br />Name of Taxpayer <br />MARIO CRUZ JR <br />5216 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Residence 2 81.5 W WAUGH ST <br />GRAND ISLAND, NE 68803 -1747 <br />Serial Number <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No_ Serial No. <br />n/a n/a (9_910±2 201002686 <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />Place of Filing <br />This notice was prepared and signed at <br />the <br />Signature <br />Tax Period <br />Ending <br />(b) <br />12/31/2006 XXX- XX-1632 <br />12/31/2007 XXX -XX -1632 <br />* * * * * * * * * ** * ** * * * ** * * * * *** <br />10th day of August <br />Identifying Number <br />(C) <br />ekt4 <br />2016 <br />643974910 <br />I certify that the following - named taxpayer, under the requirements of section 6325 fa) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on April 22 <br />2010 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Date of <br />Assessment <br />(d) <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />CHICAGO, IL <br />Last Day for <br />Raking <br />(e) <br />201605480 <br />For Use by Recording Office <br />We gpc qS ff.t. John A 5. - - UCC CRFTL <br />9918778958 -8 Pea 1 <br />CRUZ IIPRI0 JR <br />Filed: 08124 {2016 1163 RM <br />Unpaid Balance <br />of Assessment <br />(f) <br />10/02/2008 11/01/2018 3775.86 <br />11/30/2009 12/30/2019 5760,50 <br />********* * * * * * * * * * * * * * *v * * * * ***** * * * * * ** <br />Total $ 9536.36 <br />, on this, <br />Title Director, Specialty Collections <br />(NOTE: Certificate of officer authorized by law to take acknowledgments ie 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 />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />