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200903648
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Last modified
5/12/2009 4:52:35 PM
Creation date
5/12/2009 4:49:26 PM
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DEEDS
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200903648
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<br />05/12/2009 TUE 14:17 <br /> <br /> <br />& Fonn- ;;; -(z) <br /> <br />(Rev. 10-20001 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />200903648 <br /> <br />~002/006 <br /> <br />8801 <br /> <br />Department of the Treasury. Internal Revenue Service <br />Certificate of Release. of Federal Tax Lien <br /> <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />lien Unit Phone: (800) 913-6050 <br /> <br />Serial Number <br /> <br />For Use by Recordin Office <br /> <br />169785004 <br /> <br /> <br />PSlII: 1 <br /> <br />I certify that the following-named taxpayer. under the requirements of section 6325 (a) <br />of the Internal Revenue Cod~ 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 Hen was filed on May 05 <br />2004 . 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 />DOMINGO TERCERO RAMIREZ <br />AKA DOMINGO TERCERO <br /> <br />Residence 120 E CHARLES <br />GRAND ISLAND, NE 68801-6019 <br /> <br />COURT RECORDING INFORMATION: <br />L~~:r P~-"'~~g~'~~~~~~~~~~~~4~~4 <br /> <br />Ta~..-'--'.- Date of <br />Endin, Identifying Number Assessment <br />bl (el (d) <br />12/31/1993 XXX-XX-0154 09/16/1996 <br />12/31/1998 XXX-XX-0154 07/14/2003 <br />12/31/1999 XXX-XX-0154 07/07/2003 <br />12/31/2000 XXX-XX-0154 07/14/2003 <br />12/31/2001 XXX-XX-0154 07/21/2003 <br />******** ********** ************* ********** <br /> <br />Kind of Tax <br />(a <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br /> <br />Last Day for <br />Refilin, <br />(e <br />10/16/2006 <br />08/13/2013 <br />08/06/2013 <br />08/13/2013 <br />08/20/2013 <br />************ <br /> <br />Unpaid Balance <br />of Assessment <br />f] <br />456.10 <br />1461. 39 <br />4806.42 <br />12784.22 <br />1778.41 <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 />21286.54 <br /> <br />This notice was prepared and signed at <br /> <br />CHICAGO, IL <br /> <br />, on this. <br /> <br />the <br /> <br />29th day of April <br /> <br />2009 <br /> <br />Signature <br /> <br /> <br />Title Director, Campus Compliance <br />Operations <br /> <br />(NOTE: Certificate of officer authorized by law 10 take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Ru/. 71-466. 1971" 2 C.6. 4091 <br />Part 1 . RECORDING OFFICE <br /> <br />Form 668 (Z) (Rev, 10-20001 <br />CAT. NO 600261 <br /> <br />\> <br />
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