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Sep. 22. 2015:. 3 07FV NE tie. rotar <br />Form 668 (Z) <br />(Rev. 10.20001 <br />Area: <br />SMALL BUSINESS/SFT EMPLOYED AREA #4 <br />Lien Unit Phone: (80o) 913 -6050 <br />Name of Taxpayer <br />JASON A BECKSTROM <br />Residence 212 0 WILLIAM ST <br />GRAND ISLAND, NE 68801 -7427 <br />Liber <br />n/a <br />kind of Tax <br />(a) <br />1040 <br />1040 <br />* * * * * * ** <br />Place of Filing <br />5216 <br />This notice was prepared and signed at <br />the <br />03rd day of September, 2015 <br />Signature <br />tat: — UCC. \Vo.2737 F. <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien 20 83 <br />Serial Number <br />728123710 <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 statutory <br />additions. Therefore, the Ilen 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 December 16 <br />2010 , is authorized to note the books to show the release of this lien for <br />these texas and additions. <br />COURT RECORDING INFORMATION: <br />Page UCC.IIo. Serial No. <br />n/a 910645621 201009391 <br />Tax Period Date of <br />Ending Identifying Number Assessment <br />(b) . (c) (d) <br />12/31/2007 XXX-XX -6533 11/08/2010 <br />12/31/2009 xXX -XX -6531 06/14/2010 <br />****** * * * * * * * * * * * * * ** * * * ** * * * * * * * * * ** <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />CHICAGO, IL <br />Last Day for <br />Reflling <br />(e) <br />For Use by Recording Office <br />- <br />NB Soc of Slat* John N dale UCL ClIFTL <br />I 1111111 <br />Ill <br />8915761158 -1 P95: 1 <br />BECKSTROM if5ON A <br />Filed: 09122/2016 11:26 PM <br />Unpaid Balance <br />of Assessment <br />(f) <br />12/08/2020 16121.31 <br />07/14/2020 765.50 <br />* * ** * * * ** * * *< * * * * ** * * * ** * * * ** <br />Total $ <br />16886'.81 <br />on this, <br />Title Director, Specialty Collections <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not eseentlal to the validity of Certificate of Release of C`� <br />