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04!04/2003 17:42 FAX 14024714429 NEBRASKA UCC IM 002 <br />�1 .200304146 <br />109 D CAL o .,i: <br />Farm 668 (Z) s "+ » Ziz kL <br />Rev. ; 0.2000) Cert r° <br />Area: e a ri n a i*, is U r'Z si b,�LlRecordlng Office <br />WAGE & IM- ESTMENT AREA #5 <br />Lien Unit Phone: (414) 297 -3211 390244071 me Sec or Buie • ucc has <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 ail 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 13 91903267909 -0 <br />2001 , <br />is authorized to note the books to show the release of this lien for JAVA JESUS VILLA PM these taxes and additions. Flled: 041e412003 03:47 P <br />Name of Taxpayer <br />JESUS VILLA NAVA <br />Residence412 E 13TH <br />GRAND ISLAND, NE 68801 -3840 <br />COURT RECORDING INFORMATION: <br />Liber Page U.,C_.No_. Serial No. <br />2001 03196 9901132840 200103196 <br />Tax Period Date of Last Da for Unpaid Balance <br />Kind of Tax Ending Identifying Number Assessment Refifng of Assessment <br />(a) (b) (c) (d) (e) (f) <br />1040 12/31/1995 506 -23 -0561 08/31/1998 09/30 /2008 3586.62 <br />Place of Filing Register of Deeds <br />Hall POBOX 1692 Total $ 3586.62 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 28th- day of March <br />SignatUl <br />2003 <br />MILWAUKEE, WI <br />on this, <br />Title Compliance Technical Support <br />Manager <br />0207H: Certificate of officer authcrizsd by iaw to tale acknowledgments is not sssamml to the validity of Certificate of Reiease of <br />Federal Tar, lien ftsv. Ful. 7-­466, 1971 - 2 C.B. 409} Form 668 (Z) (Rev. 10 -2000) <br />d <br />e <br />r N <br />�c <br />i <br />t <br />1 <br />