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<br />04/15/2008 TUE <br /> <br />5b --*-- <br /> <br />Form 668 (Z) <br />(Rev. 1().20001 <br /> <br />15:03 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121006/007 <br /> <br />4653 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Uen <br /> <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />lien Unit Phone: (800) 913-6050 <br /> <br />Serial Number <br /> <br />For Use by Recording Office <br /> <br /> <br />9908S56091-5 PSI: 1 <br />ZAMORA RUBEN <br />Filed: 04/15/2008 12:38 PM <br /> <br />t.lE St!e' of St.... John A G;iIIl. . uce <br /> <br />376029907 <br /> <br />I cel1ify 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 thes'e taxes and <br />additions has been released. The proper officer in the office where the notice of <br />intemal revenue tax lien was filed on July 18 <br />20 0 7 ,is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />Name of Taxpayer <br />RUBEN ZAMORA <br /> <br />Residence 314 E 5TH ST <br />GRAND ISLAND, NE 68801-4619 <br /> <br />,200803142 <br /> <br />Liber <br />n/a <br /> <br />Page <br />n/a <br /> <br />COURT RECORDING INFORMATION: <br />UCC No. Serial No. <br />9907517668~9 0200706066 <br /> <br />Kind of Tax: <br />(a} <br />.1040 <br />1040 <br />******** <br /> <br />Tax Period <br />Ending <br />b <br />12/31/2001 <br />12/31/2002 <br />********** <br /> <br />Identifying Number <br />c <br />XXX-XX-1922 <br />XXX-XX-1922 <br />************* <br /> <br />Date of <br />Assessment <br />(d <br />08/07/2006 <br />08/07/2006 <br />********** <br /> <br />Last Day for <br />Refiling <br />e . <br />09/06/2016 <br />09/06/2016 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />f <br />10665.05 <br />9951.02 <br />**************** <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />20616.07 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the <br /> <br />02nd day of April <br /> <br />2008 <br /> <br />Signature <br /> <br /> <br />Title Direct9r, Campus Compliance <br />Operatlons <br /> <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. Ru!. 71-466, 1971 - 2 C,B; 4091 Form 668 (Z) (Rev. 10-20001 <br />Part t - RECORDING OFFICE CAT. NO 600261 . <br />