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<br />05/06/2009 <br /> <br />)6 <br /> <br />WED 15: 11 <br /> <br />FAX 402 471 4429 UCC SECRE~ARY OF S~A~E ~~~ Hall <br /> <br />1ilI003/009 <br /> <br />--*-- <br /> <br />8801 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Certifi<;ate of Release of Federal Tax Lien <br /> <br />Form 668 (Z) <br />(Rev. 10.20001 <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 />270461006 <br /> <br />'1111111111 [rll r <br /> <br /> <br />9909595699-2 P9': 1 <br />MATOS LUIS EUGENIO <br />Filed: 05/06/2009 09:36 AM <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 toxes 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 tiled on February 06 <br />2006 . 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 />LUIS EUGENIO MATOS <br /> <br />200903499 <br /> <br />Residence 610 W 4 TH ST <br />GRAND ISLAND, NE 68801-4527 <br /> <br />COURT RECORDING INFORMATION: <br />Liber Page lICe >>n Serial No. <br />n/a n/a C 9906436629-7) 200601020 <br /> <br />Tax Period Date of Last D~ for <br />Kind of Tax Ending Identifying Number Assessment Refiling <br />(al (bl (el (dJ (el <br />1040 12/31/2001 XXX-XX-7607 01/10/2005 02/09/2015 <br />1040 12/31/2002 XXX-XX-7607 02/21/2005 03/23/2015 <br />********It**********,,************* *********************** <br /> <br />Uppaid Balance <br />of Assessment <br />(II <br />6825.20 <br />4726.13 <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 />11551.33 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />.______ ,on this, <br /> <br />the _.~~nd day of April <br /> <br />2009 <br /> <br />Signature <br /> <br /> <br />~ <br /> <br />Title Director, Campus CampI iance <br />Operations <br /> <br />(NOTE: Certifica1e of officer authorized by law to take acknowledgments is not essential 10 the validity of Cerrificale of Release of <br />Federal Tax lien Rev. Rul. 71-466,1971 - 2 C.B. 4091 Form 668 (Z) (Rev. ;0.20001 '.'.'.y'"'' <br />Part 1 . RECORDING OFFICE CAT. NO 600261 J <br />