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<br />03/31/2009 ~UE 14:53 FAX 402 471 4429 UCC SECRE~ARY OF S~A~E ~~~ Hall <br /> <br />~003/004 <br /> <br />j) <br /> <br />Form 668 (Z) <br />(Rev. 10-20001 <br /> <br />8801 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Uen <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />lien Unit Phone: (800) 913-6050 432302908 <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 fisted 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 04 <br />2008 ,is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />Name of Taxpaye! <br />RAMON DELGADILLO <br /> <br /> <br />tRFTI. <br /> <br />200902348 <br /> <br />Residence 612 W 10TH ST <br />GRAND ISLAND, NE 68801-4047 <br /> <br />COURT RECORDING INFORMATION: <br />Liber Page CC N Serial No. <br />n/a n/a 9908554786-6 200802872 <br /> <br />Tax Period <br />Endins <br />(b) <br />12/31/2001 <br />12/31/2002 <br />******** ********** <br /> <br />Kind of Tax <br />ta) <br />1040 <br />1040 <br /> <br />Identlfylns Number <br />Ie} <br />XXX-XX-6078 <br />XXX-XX-6078 <br />************* <br /> <br />Date of <br />Assessment <br />d <br />12/18/2006 <br />12/18/2006 <br />*****-***** <br /> <br />last Dq.for . <br />RefilinB <br />e <br />01/17 2017 <br />01/17/2017 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />If} <br />4369.29 <br />3984.11 <br />**************** <br /> <br />I <br />i- <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 />8353.40 <br /> <br />This notice was. prepared and signed at <br /> <br />CHI CAGO , IL <br /> <br />, on this, <br /> <br />18th day of March <br /> <br />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. Ru!' 71-466, 1971 - 2 C.B. 409) <br />Part 1 . RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev. 10.2000) <br />CAT. NO 600261 <br /> <br />v <br />