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201206977
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Last modified
8/23/2012 8:38:16 AM
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8/23/2012 8:31:53 AM
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DEEDS
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201206977
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08/22/2012 WED 15:22 FA8 402 471 4429 UCC SECRETARY OF STATE �~~ 8a11 <br />j <br />�Form 668 (Z) <br />►Re�. �a2000► <br />3592 <br />Department of the Treasury - Internal Reve�ue Service ` <br />Certificate of Release of Federal Tax Lien <br />Area: Serial IVumber <br />SMALL BUSINESS/SELF FNIPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 814845411 <br />I certify that the following-named taxpeyer, under the requiremerrts of section 6325 (a1 <br />of. the Intemal Revenue Carle has satisfied the taxes listed below and ail statutory <br />additions. Therefore, ths 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 OCtOber 07 <br />2 O11 , is authorized to note the books to show the release of this lien for , <br />these taxes and additions. <br />�004/005 <br />�ale - UCC CRCTL <br />Pes: 2 <br />:ss �m <br />Name of Taxpayer <br />MICHAEL JOHNSON <br />Residence 314 CHEROKEE AVE <br />GR.AND ISLAND, NE 68803-3805 <br />COIIRT RECORDING IN�'ORMATION: <br />Liber Page IICC No. Serial No. <br />n/a n/a n/a 0201107522 <br />Tax Period Date of <br />Kind of Tax Ending Identifj►ing Number Assessment <br />Last Day for I llnpaid Balance <br />Re t��r ng of Assessment <br />1040 12/31/2009 XXX-XX-8816 05/30/2011 06/29%2021 12483.80 <br />******,�* ********,�* *,�*�r�**�*�r**�r *****,r**** �*�******�r** ,r�***�*,�**�x**,�** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX'1692 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the �$t� day of August � 2012 <br />Signature ��� <br />Total �$ 12483.80 <br />, on this, <br />�EE A�'T�.C�tlVli.��i� <br />Tirle <br />Operations Manager, <br />Centralized Case Processing-Lien Uni <br />CHICAGO, IL <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. 4091 Form 668 (Z) (Rev. 10-2000) <br />• Parc 1- RECORDING OFFICE CA7. NO 600281 <br />
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