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201504981
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7/22/2015 4:13:27 PM
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7/22/2015 4:10:32 PM
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DEEDS
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201504981
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Foam 666 (Z) <br />!Rev_ 10 -20001 <br />12567 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED A&EA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />- <br />Serial Number <br />392140207 <br />For Use by Recording Office <br />N C <br />G.c <br />\ <br />ar 54a4e <br />1 11 <br />Jahn <br />I <br />A Gale <br />- UCC CAFTL <br />I certify that the following-named taxpayer, under the requirements of section 6325 la) <br />of the internal Revenue Code has satisfied the taxes listed below and all statutory <br />111111 <br />Nil <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />1 <br />li <br />ill <br />additions has been released. The <br />internal revenue tax lien was filed <br />proper officer in the office where the notice of <br />on October 01 <br />' <br />991575 <br />11 <br />&247 <br />-5 <br />Pes! t <br />2007 <br />is authorized to note <br />the books to the release this lien for <br />MEYERS JONN <br />, show of <br />Filed= ®7/22 ®i :34 PA <br />these taxes and <br />additions, <br />Name of Taxpayer <br />JOHN C & SUSAN M MEYERS . <br />Residence 11070 S BUFFALO RD <br />DONIPHAN, NE 68832 - 9721 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9907527588 -3) 0200708389 <br />Tax Period <br />Dace of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying NUMber <br />Assessment <br />Ruling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(dl <br />(e) <br />If) <br />1040 <br />12/31/2003 <br />XXX -XX -3172 <br />06/25/2007 <br />07/25/2017 <br />7185.57 <br />'************ <br />k******.***** <br />* * ** * * **** <br />* *x * * * * ** ** <br />* *,t *x ** ** *,tom <br />* * * *** * * *,r * * * * ** <br />Place of Filing <br />' Register of Deeds <br />Hall POBOX 1692 Total <br />$ 7185.57 <br />Grand Island, NE 68802 - 1692 <br />J01.11. 22. 2015LE 2:53FM NE Secretary of State — UCC <br />This notice was prepared and signed at <br />the 09 day of July <br />Signature <br />eka-t <br />CHICAGO, IL , on this, <br />2015 <br />N':'.1909 F. J <br />Title Director, Specialty Collections <br />(II40TEc Cenifloete of officer authorized by law to take aoknowledpments is not essential to the validity of Certificate of Release of <br />Fodarel Tax In Rev, Rel. 71r4e13, 1971 - 2 C.B. 409) Form 668 (Z) (flee. 10.2000) <br />Part 1 - RECORDING OFFICE CAT. No 600261 <br />
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