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12/08/2004 11:22 FAX 14024714429 NEBRASKA UCC IM 005/005 200411848 il V .,. 5:..,. 1872 Department of the Treasury - Internal Revenue Service Form 668 (Z) (Rev. 10 -2000) Certificate of Release of Federal Tax lien Area: Serial Number For Use by Recording Office WAGE & INVESTMENT AREA #5 Lien Unit Phone: (651) 312 -8060 390253192 we s�.y.. ucc rot I certify that the following -named taxpayer, under the requirements of section 6325 (a) 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 February 13 - )9043 4234-9 t 2002 , is authorized to note the books to show the release of this lien for CARCIA J2 07P2 Poe Filed: these taxes and additions. 004 12 :66 Pn Name of Taxpayer uUAN P GARCIA & ARACELY P HOLGUIN Residence217 E 5TH GRAND ISLAND, NE 68801 -4617 COURT RECORDING INFORMATICN: Liber Page UCC No. Serial No. n/a n/a 02195279 --4 x,00201742 Tax Period " _ Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refhng of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/1995 509 -02 -5438 12/02/1996 01/01/2007 291.52 Place of 'Filing Register of Deeds Hall POBOX 1692 Total $ 291.52 Grand Island, NE 68802 -1692 This notice was prepared and signed at the 01st day of December 2004 Omaha, NE , on this, Signature Title Director, Payment Compliance (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 �.B. 409) Form 668 (Z) (Rev., 10 -2000) Part 1 . RECORDING OFFICE CAT. NO 600261 �i If