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5,,p, 22. 201 3:08PM '-NE Secretary of State — UCC <br />SEP -15 -2015 21:41 <br />3514 <br />Form 660 (Z) <br />(Rev. 10-20001 <br />Area: <br />SMALL BUSINESS /SELF" EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Name of Taxpayer <br />JASON A BECKSTROM <br />Residence 2 6 64 0 FLANNAGAN ST <br />GRAND ISLAND, NE 68803 -1327 <br />Liber Page <br />n/a n/a <br />Khid of Tax <br />__ja) <br />1040 <br />1040 <br />1040 <br />* * * * * * ** <br />Place of Filing <br />the <br />Signature <br />Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Serial Number <br />COURT RECORDING INFORMATION: <br />o. Serial No. <br />99147296971) 201400511 <br />979105314 <br />I certify that the following -namod taxpayer, under the requirements of section 6326 (g) <br />of the Intornel Revenue Code has satisfied the taxes listed below and all statutory <br />additions_ Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has bean released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed on January 28 <br />2014 , Is authorized to note the books to show the release of this lien for <br />those taxes and additions. <br />Date of <br />Assessment <br />r d) <br />Tax Period <br />Ending <br />lb) <br />12/31/2010 <br />12/31/2011 <br />12/31/2012 <br />*** * * * * * * * * * * ** *** * ** ***w* * * * ***** *fret *x * ** *** *fir ** * * * * * * * * * * * *f* <br />identifying Number <br />(c) <br />XXX -XX -6533 <br />XXX-XX -6533 <br />XXX -XX -6533 <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island; NE 68802 - 1692 <br />03rd day of September , 2015, <br />This notice was prepared and signed at CHICAGO, IL <br />Last Day for <br />Refiling <br />(9) <br />11/21/2011 12/21/2021 <br />10/07/2013 11/06/2023 <br />06/03/2013 07/03/2023 <br />No. 2787 F. 5 <br />P.05 <br />For Use by Recording Office <br />NE Sae of Sloe* John A Gale - AEC CACTI_ <br />Total $ <br />9915761160 -8 Pea: 1 <br />BECKSTROM JASON A <br />Filed; 09/22/2015 11:26 AM <br />Unpaid Balance <br />of Assessment <br />(f) <br />956,26 <br />6410.35 <br />709.47 <br />8076.08 <br />, on this, <br />Title Director, Specialty Collections <br />(NOTE; Certificate of offiiaer ■urhorized by law to take acknowledgments is net essential to the validity of Certificate of Release of <br />�. -- .. -.• w rr • IN, . -. r 0 wne <br />86 <br />