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<br />01/02/2009 <br /> <br />oC() <br /> <br />FRI15:29 <br /> <br />FAX 402 471 4429 UCC SECREXARY OF SXAXE ~~~ Hall <br /> <br />~003/004 <br /> <br />Form 668 (1) <br />IRev. 11)..2000) <br /> <br />8801 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 470722308 <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 September 16 <br />2008 ,is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />For Use by Recording Office <br /> <br />Name of Taxpayer <br />NORMA C MORENO <br /> <br />111111111111~llr' <br /> <br />9909581584-3 pss" 1 <br />MORENO NORMA C " <br />Fiied: 01/02/2009 02:39 PM <br /> <br />200900020, <br /> <br />Residence 107 CENTENNIAL DR <br />GRAND ISLAND, NE 68801-0000 <br /> <br />Liber <br />n/a <br /> <br />COURT RECORDING INFORMATION: <br />Page TT(,(, Nn Serial No. <br />n/a (9908570981-0) 200807964 <br /> <br />Tax Period <br />Kind of Tax Ending Identifying Number <br />fa) (b) fe) <br />941 03/31(2007 69-0580063 <br />941 12/31/2007 68-0580063 <br />********~**********~************* <br /> <br />Date of Last Day for <br />Assessment Refiling <br />ldl fel <br />04/07/2008 05/07/2018 <br />03/31/2008 04/30/2018 <br />**********~************ <br /> <br />Unpaid Balance <br />of Assessment <br />(II <br />4924.07 <br />2652.18 <br />**************** <br /> <br />'~ ~ <br /> <br />;'~-f ~..;.;;.(..;'lit <br />,." ,:.~~~L~\j~ <br /> <br />I '.1,' ~...J";,:.:~ <br /> <br />., '.,:"A'7ii.)! <br />-.":.:~i:~1 <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 />7576.25 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />the 17th day of December" 2008 <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) <br />Part . . RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev. 10-2000l <br />CAT. NO 600261 <br /> <br />& <br />