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12/22/2009 TUE 15:35 FAX 402 471 4429 UCC 58CRETAItX OF STATE ~~~ H311 <br />fl <br />~~ __*__ <br />3592 Department of the Treasury -internal Revenue Service <br />Fornr bb8 (Z) <br />iRsv. 10-2000, Certificate of Release of Federal Tax Lien <br />Area: Serial Number For Use t <br />SMALL BUSTNES$/SELF EMPLOYED AREA #4 <br />Lien Unit Phone• (aoo) 9~.3-6050 390253005 <br />Recordi <br />• NE SEC of Bta!• John A frale - U[C <br />I certify that the tollowing-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. 1'he proper officer in the office where the notice of <br />internal revenue tax lien was filed on February 04 _ 9909614847-1 <br />2002 , is authorized to note the books to show the release of this lien far yERGARA BILLY pss. 1 <br />these taxes and additions. Filed` i2i22izgn9 6t.23 pM <br />Name of Taxpayer <br />BYLLY VERGARA <br />200910057 <br />Residence3106 W 13TH ST <br />GRAND ISLAND, NE 68803 <br />COURT RECORDING INFORMATION: <br />Liber Page U No. Serial No. <br />n/a n/a 990 192583-• 200201353 <br />Tax Period ~ Date of <br />Kind of Tax Ending Identifying Number Assessment <br />CRGTL <br />Last Dayy for I Unpaid Balance <br />Refil~ng of Assessment <br />7.040 12/31/1996 XXX-Xx-8959 12/06/1999 01/09 2010 10707.36 <br />Place of Filing <br />Register of Deeds <br />xall Posox 1692 <br />Grand Island, NE 68802-7.692 <br />X003/012 <br />Total I$ 10707.36 <br />This notice was prepared and signed at <br />Omaha, NE <br />the 09th day of December 2009 <br />on this, <br />Signature ~ A ~~h-P-~ I Title Director, Campus Compliance <br />Operations <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 />Part 1 -RECORDING O~FlCE CAT. NO 800261 <br />