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12/16/2010 TH� 14:21 FAX 402 471 4429 �CC SBCRBT�xX OF STATE �yy Hall <br />�003/005 <br />�� 3 592 Department of the Treasury - Internal Revenue Service <br />Form b68 (Z) <br />rRa�. ,�-xooa, Certif�cate of Release of Federal Tax Lien 2 010 U 9 3 9 2 <br />Area: Serial Number For Use b Recordin Office <br />SMALL BUSINE$8/S�LF EMPLOYEA AREA #.4 <br />Lien Unit I'hone (800) 913-505Q ' 3540257p7 � s.� ot s�•+• �o"^ p 6a1a ' � C �"`*` <br />I certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all st�tutory <br />additions. 7herefore, tha lien provided by Gode section 6321 for #hese taxes and <br />additions has heen released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on A ri1 O9 P � e ' 1 <br />9910645� <br />2007 , is authorized to note the boaks ta show the release of this lien for FA1 1�21�652010 08:45 AI� <br />these taxes and additians. <br />Name nf Taxpayer <br />JESUS CAST�:nz� <br />Residence535 E CAPTTAL AVE <br />GRAND ISLAND, NS 68801--2413 <br />� COURT RECORD�NG TNFORMATION: <br />La.ber Page_ UCC Serial�No. <br />20Q7 02$ 90750�248- 2QQ702801 . <br />Kind ot Tax �F.ndin � Identi ��� °f I.ast Da far <br />.�. .�. � fyin8 Number Assessment Refil� <br />llnpald Balance <br />of Assessmen# <br />1040 ].2/31/2p03 XXX-XX-2333 a7 31/2006 OS/30/201� 1237'4:03 <br />1040 12/31/2004 XXX-XX�2333 05/30/2005 06/29/2015 93..3� <br />*�r,*.***** ****�***** ***�*�r***�r*** ********** �*********** ***�************ <br />Place of Filing <br />Regieter of Deeds <br />Ha�l POBOX 1692 <br />Grand Island NE 688q2-1�92 <br />Total �$ 12467.38 <br />This no�tice was prepared and signed at <br />the ��gt day of Decem <br />Signature <br />2010, <br />CHICAGO, IL <br />, nn this, <br />Title Director, Campus Compl�.ance <br />Operations <br />�n�� e: �:eruncate or oftice► authorixed 6y law to take acknowledgments is not essential to tha validity of Certificate of Release of <br />Federal 7ax Iien Hev. Rul. 71-466, 1871 - Z C.B. 40g) • �nrm 668 (Z) (Rev. 1Q-20p0) <br />Part t- R�CORDING OFFICE CAT. NQ Bq0281 <br />