Laserfiche WebLink
<br />03/18/2009 WED 14:30 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121003/010 <br /> <br />~ --*-- <br />arm 668 (Z) <br />(Rev. 10-2000) <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 345248907 <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 February 26 <br />2 007 ,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 />ULISES ACOSTA <br /> <br />For Use b <br /> <br /> <br />Nfi See: iii" Statu Jahrt fil G.IB . uce CRJ:TL <br /> <br /> <br />9909590391-5 Pgs: 1 <br />ACOSTA ULISES <br />Filed: 03/18/2009 11:19 AM <br /> <br />200901965 <br /> <br />Residence 407 KENNEDY DR <br />GRAND ISLAND, NE 68803 <br /> <br />Liber <br />n/a <br /> <br /> <br />COURT RECORDING INFORMATION: <br />Serial No. <br />200701428 <br /> <br />Kind of Tax <br />(a) <br />1040 <br />******** <br /> <br />Tax Period <br />Ending <br />b} <br />12/31/2004 <br />********** <br /> <br />Identifying Number <br />(c <br />XXX-XX-l111 <br />************* <br /> <br />Date of <br />Assessment <br />(d) <br />02/13/2006 <br />********** <br /> <br />Last Day for <br />Refiling <br />(e <br />03/14/2016 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />(t) <br />5382.37 <br />**************** <br /> <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 />5382.37 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this, <br /> <br />18th day of February , 2009 <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. Rul. 71-466,1971 - 2 CoB. 409) Form 668 (Z) (Rev. 10-2000) <br />Part 1 . RECORDING OFFICE CAT. NO 600261 <br />