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<br />05/06/2008 TUE 14:23 <br />V __*__ <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />141007/007 <br /> <br />Form 668 (Z) <br />(Rev. 10-20001 <br /> <br />1924 <br /> <br />Department of the Treasury. Internal Revenue Service <br />. Certificate of Release of Federal Tax Lien <br /> <br />200803906 <br /> <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 913-6050 <br /> <br />Serial Number <br /> <br />For Use b Recording Office <br /> <br />390255440 <br /> <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 18 <br />2 002 ,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 />JUAN A LOPEZ <br /> <br /> <br />9908558787-2 Pes: 1 <br />LOPEZ JUAN A <br />Filed: 0610612008 11:35 AM <br /> <br />Liber <br />n/a <br /> <br />Residence POBOX 117 <br />GRAND ISLAND, NE 68802-0117 <br /> <br />COURT RECORDING INFORMATION: <br />Serial No. <br />9902209539-3 200204231 <br /> <br /> <br />Date of <br />Identlfyin, Number Assessment <br />(0 d <br />XXX-XX-9953 09/27/1999 <br />************. ********** <br /> <br />Last Day for <br />Refilin, <br />e} <br />10/27/2009 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />(f} <br />5452.16 <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 />5452.16 <br /> <br />This notice was prepared and signed at <br /> <br />Omaha I NE <br /> <br />, on this, <br /> <br />23rd day of April <br /> <br />2008 <br /> <br />the <br /> <br />Signature <br /> <br /> <br />Title Director, Campus Compliance <br />Operations <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. 409) . Fonn 668 (Z) (Rev. 10-2000) <br />Part t - RECORDING OFfiCE CAT. NO 600261 <br /> <br />v <br />