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201600396
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1/21/2016 4:12:04 PM
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DEEDS
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201600396
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Foam 666 • <br />IRP�. ,,_ <br />5216 Department of the Treasury - Internal Revenue Servic 0 1 6 0 <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913 -6050 <br />Serial Number <br />479201839 <br />For Use by Recording Office <br />Ni Sae <br />r <br />9 916787e4Z <br />6RDCK <br />Filed; <br />er <br />I <br />1 <br />RRMOfdR <br />51/21/2516 <br />S4e1e <br />- 4 <br />John A dale <br />R <br />09;45 <br />- UCC <br />„ <br />Pgs: <br />AM <br />tIFTL <br />1 <br />I certify that the <br />of the Internal <br />additions_ Therefore, <br />additions has <br />internal revenue <br />1992 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released, The <br />tax lien was filed <br />, Is authorized to note <br />additions. <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on March 18 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />RANDY J. & RAMONA R. BROCK <br />Residence 1007 WEST 7TH STREET <br />GRAND ISLAND, NE 68801 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a n/a 92 102120 <br />lend of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Reining <br />fri <br />Unpaid Balance <br />of Assessment <br />(t) <br />1040 <br />1040 <br />1040 <br />' h' k'k �L' 7l 1**** <br />• <br />12/31/1986 <br />12/31/1987 <br />12/31/1988 <br />atdf� {k'kA'�rd�'3['k'A*** <br />XXX-- XIS -7127 <br />XXX -XX -7127 <br />XXX -XX -7127 <br />*�Y�t'l ***' h�l' <br />05/25/1987 <br />06/06/1988 <br />06/12/1989 <br />t' �t +k1t'If'k�et'1GSl'ak'�* <br />06/24/1997 <br />07/06/1996 <br />07/12/1999 <br />*�t�ki* kit' kil #'�FT�F'kir***iFiE'Aki:ir�r*** <br />2266.92 <br />2886.68 <br />1161.02 <br />Jan, 21. 2016 3:23PM <br />NE 'Secretary of State — UCC <br />No. 4704 P. 6/7 <br />Place of Filing <br />Register of Deeds <br />Hall P080X 1692 <br />Grand Island, NE 68802 -1692 <br />Total <br />6314.62 <br />This notice was prepared and signed at Omaha , NE , on this, <br />the <br />10th d of January , 2016 <br />Signature <br />tki-u 00.40,a' <br />Title Director, Specialty Collections <br />(NOTE: Certificate of officer authorized by law to take acknowledgments Is not essential to the validity of Certificate of Release of <br />Form 668 (Z) (Rev. 10 -20001 <br />CAT. NO 600261 <br />Federal Tax lien Rev. Rol. 71 -466, 1971 - 2 C.8. 409) <br />Part I - RECORDING OFFICE <br />
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