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05/19/2004 17:10 FAX 14024714429 NEBRASKA UCC Q 005/005 <br />3 <br />ff_!. <br />This notice was prepared and signed at <br />the 12th day of May <br />2004 <br />Omaha, NE <br />on this, <br />Signature �� �^" 4 4 -'i. 11. ' . Title Compliance Technical Support <br />Gr't +,�`�G r b' �s 4:' �:. , <br />E Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />rararaf TAY Gan Rev_ Rul. 71 -466. 1971 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />L� <br />1008 Department of the Treasury - Internal Revenue Service <br />Form 668 (Z) <br />Certificate of Release of Federal Tax Lien <br />(Rev. 10-2000) <br />Area: <br />Serial Number <br />For Use by Recording Office <br />WAGE & INVESTMENT AREA #5 <br />Lien Unit Phone: (651) 312 -8080 <br />390368837 <br />Na S.. of s40*6 - Ucc r.e <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <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 11 <br />9904334546 -4 Pigs. 1 <br />2003 , is authorized to note the books to show the release of this lien for <br />CARDENAS RAUL <br />Filed: 06119/2004 01:43 PM <br />these taxes and additions. <br />Name of Taxpayer <br />RAUL CARDENAS <br />200405022 <br />Residence 117 LYNN LN <br />GRAND ISLAND, NE 68801 -9351 <br />COURT RECORDING INFORMATION: <br />Liber Page LICK -No:- - -- .,, -4 Serial No . <br />n/a 1 C990-3-2.692-57-D--5 200304618 <br />Tax Period T <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refilling <br />I <br />of Assessment <br />(a) <br />01 <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/1999 <br />453 -71 -1482 <br />04/08/2002 <br />05/08/2012 <br />3124.14 <br />1040 <br />12/31/2000 <br />453 -71 -1482 <br />01/06/2003 <br />02/05/2013 <br />6403.20 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 9527.34 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 12th day of May <br />2004 <br />Omaha, NE <br />on this, <br />Signature �� �^" 4 4 -'i. 11. ' . Title Compliance Technical Support <br />Gr't +,�`�G r b' �s 4:' �:. , <br />E Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />rararaf TAY Gan Rev_ Rul. 71 -466. 1971 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />L� <br />