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I06/17/2002 15:58 FAX 14024714429 NEBRASKA UCC <br />002/0 11 <br />"e" "(m..$ ,% TO <br />v'Z <br />59698 a rtmenX,O r s n . <br />t " <br />e Sef4 <br />Pom 668. (Z) <br />n! i <br />�i <br />111" 10-20001 <br />1 <br />11 <br />i +••fern+•+• - uu Tell <br />Area- Serial Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (414) 297 -3211 390256345 <br />1 certify that the following named taxpayer, under the requirements of section 5325 (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 end <br />.9902221 08 -4 I?ea: 1 <br />additionslhas been released. The proper officer in the office where the notice of <br />JACeee TIANA <br />Fit+d: 11712002 62:66 P6 <br />internal revenue tax lien was filed on _ May 06 <br />2002 , is authorized to note the books to show the release of this lien for <br />- <br />-these taxes and additions. <br />Name ofiTexpeyer <br />ALONSO R & ADRIANA JACOBO <br />- <br />200206486 <br />Residence 918 N CHERRY <br />GRAND ISLAND, NE 68801 -2750 <br />CORDING- IWOORMATION: <br />Liber Page CC No. Serial No. <br />n/a n/a 9902213222 -8 200204856 <br />TaxVima, <br />Date of <br />Last D for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Reflflflung <br />of Assessment <br />(a) <br />(b) <br />(c) <br />d! <br />(a) <br />ff) <br />1040 <br />12/31/1998 <br />461 -87 -3815 <br />06/28/1999 <br />07/28/2009 <br />2138.10 <br />1040 <br />12/31/2000 <br />461 -87 -3815 <br />06/25/2001 <br />07/25/2011 <br />8780.73 <br />Place of Filing Register of Deeds <br />Hall POBOX 1692 Total <br />$ 10918.83 <br />- -- -Grand Island, NE 68802-1692 <br />This notice was prepared and signed at MILWAUKEE, WI , on this, <br />the 13th day of June 2002 <br />Signature Title 'Compliance Technical Support <br />/7 --�k4_ r %� cT2 Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Sul. 71.466, 1971 - 2 C.S. 4091 Form 669 (2) (Rev. 10 -2000: <br />Part 1 - RECORDING OFFICE CAT. NO 60026' <br />