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01/07/2005 12:48 FAX 14024714429 NEBRASKA UCC <br />411005/006 <br />-me P IPi 91 ■ a w d A 9' ir% k I <br />This notice was prepared and signed at <br />the 29th day of December 2004 <br />Omaha, NE <br />, on this, <br />Signature Title Director, Payment Compliance it <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 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />o....n 1 _ D[!'AQATiJG (1FFICE ��T non annoa� <br />W IN <br />9297 Department of the Treasury - Internal Revenue Service <br />Form 668 (Z) <br />Certificate of Release of Federal Tax Lien <br />(Rev_ 10 -2000) <br />Area: <br />Serial Number <br />For Use by Recording Office <br />.F 11444. - ucc T112 <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (651) 312 -8080 <br />479300593 <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 March 05 <br />9999 53705 �-8 Pips: f <br />MA <br />1993 , is authorized to note the books to show the release of this lien for <br />Filed: Of /06/2006 04:39 PM <br />these taxes and additions. <br />Name of Taxpayer <br />ROSA M LERMA <br />200500212 <br />Residence 906 S CLAUSSEN AVE <br />GRAND ISLAND, NE 68801 -8039 <br />COURT RECORDING INFORMAA. <br />Liber Page UCC No. Serial No <br />n/a n/a n/a 93- 101693 <br />Tax Period <br />---- date -off- -- - <br />Eastr, Bayy"for <br />Unpaid Balance <br />Kind of Tax. <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />6672 <br />09/30/1989 <br />508 -88 -5252 <br />09/03/1990 <br />10/03/2000 <br />21173.31 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 21173.31 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 29th day of December 2004 <br />Omaha, NE <br />, on this, <br />Signature Title Director, Payment Compliance it <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 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />o....n 1 _ D[!'AQATiJG (1FFICE ��T non annoa� <br />