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11/iS/2011 FRi 15:01 FA7t 402 471 4429 UCC SECRETARY OF STATE -�-�� 8a11 <br />�003/003 <br />� -`*-' 3 5 9 2 Department of the Treasury - Internal Revenue Service <br />orm 668 (Z) Certi�cate of Release of Federal Tax Lien <br />lAe�. �0-2000� <br />Area: Serial Number <br />SMAY,L BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 429551708 <br />1 certify that the following-named taxpayer, under the requirements of section 6325 (a) <br />of the lntemal Revenue Code hes satisfied the taxes listed below and all s#atutory <br />additions. Therefore, the lien provided by Code aection 8321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />intemal revenue tax tien was filed on M�'Ch 27 � <br />2 0 0 8 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. . <br />�� .__ _ _ [ T___._ _. __- <br />IVAN ROUCO RAMOS <br />0 <br />Residence 1416 W ANNA <br />GRAND ISLAND, NE 68801-6679 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial �To. <br />n/a n/a 9908553651-0 200802558 <br />Tax Period Date of <br />Kind of Tax Ending Identfifyfing Namber Assessment <br />201108763 <br />last Da�yfor llnpaid Balance <br />Refiling of Assessm�nt <br />1040 12/31/2001 XXX�-XX-9109 03/12/20U7 04/11/2017 10002.94 <br />1040 12/31/2002 XXX-XX-9109 03/12/2007 04/11/2017 4618.14 <br />1040 12/31/2003 XXX-XX-9109 03/12/2007 04/1]./2017 3631.51 <br />***�,�**�r ***��r,�**,r* *****,�,�**�,�** *****�**** *,�**,���*,��r�* ,��****�**,��***** <br />Place of Filing <br />Register of Deeds <br />Hall POBO� 1692 <br />Grand Tsland, NE 688Q2�-1692 <br />This notice was prepared and sigried at <br />the � 9 �h day of � November � 2 011 <br />Sig�ature <br />Total � $ <br />CHICAGO, IL <br />G <br />18252.59 � <br />_ , on this, <br />Title Director, Campus Compliance <br />Operations <br />d <br />(NOTE: Certiftcate cf officer authorized by.law to teke ac�knowledgments is not easential to the vanairy�or �ernnca�e vr nsrone,d v� <br />Federa! Tax lien Rev. Rul. 79-.466, 1971 - 2 C.B. 4091: • �. Form 668 (Z) (Rev. 10-2000) <br />� Part 1- RECORDING OFfICE . CA7. NO 60Q26f <br />