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11/O1/2011 TUE 14:46 FAX 402 471 4429 UCC SECRETARY OF STATE ��� Hall <br />�� --*-- <br />Form 668 (Z) <br />(Rev. 10-20001 <br />�004/004 <br />3592 Department of the Treasury - Internal Revenue Service <br />. Certificate o# Release of Federal Tax Lien <br />Area: Serial Number <br />WAGE & INVESTMENT ARFA, #2 <br />Lie� Unit Phone: (800) 913-6050 390256364 <br />1 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 a�d all statutory <br />additions. Therefore, the lien provided by Code section 6321 fo� 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 May 06 <br />2 0 0 2 , is authorized to note the books to show the release of this lien for , <br />these taxes and additions. � � <br />Name of Taxpayer <br />HECTOR ERIVES-DOMINGUEZ <br />NE SaC of Slate�John R Gale - UCC CRFTL <br />9911675700-9 Pes: 1 <br />ERIVES-DOMINGUEZ HECTOR <br />Filed: 11101/2�11 10:43 RM <br />201108232 <br />e <br />Residence PO BOX 5 02 <br />GRAND ISLAND, NE 68802-0502 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC N� Serial No. <br />n/a n/a 9902213223-0 ,200204855 <br />I Tax� Period � � Date of I Last Day for I llnpaid Balance <br />Kind of Tax Ending Identifying Number Assetsment Refiling of Assessment <br />1040 12/31/1999 XXX-XX-9010 06/04/2001 07/04/2011 9333.64 <br />1040 12/31/2000 XXX-XX-9010 12/31/2001 O1/30/2012 2639.96 <br />******** *****�**** *******,�***** ********** ********�*** **************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total �$ . 11973.60 <br />This notice was prepared and signed at Omaha,. . NE <br />the 19th day of October � 2011 <br />Signature <br />, on this, <br />Title Director, Campus Compliance <br />Operations <br />(NOTE: Certificate•of officer authorized by �aw to take acknowledgments is not essential to the vaua�ty or �ercmca�e or ne�ease vr <br />Federal Tax tien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) <br />• . • Part 1- RECORDING OFFICE = CAT. NO 600281 <br />�' <br />�. <br />� : <br />