Laserfiche WebLink
Form 668 (Z) <br />(Rev. ]0 -2000) <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area_ <br />SMALL BCUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (B00) 913 -6050 <br />Serial Number <br />186846515 <br />For Use by Recording Office <br />Re <br />9916778237 <br />NLE <br />Filed: <br />saa <br />cr <br />N KRISTEN <br />saa- <br />09/10/2016 <br />' <br />- 0 <br />° "^ <br />F <br />a bale <br />09:50 <br />ucc <br />AM <br />CRrrL <br />Psis: <br />I certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2015 <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 December 02 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />KRISTEN F KLEIN <br />Residence 17541 <br />CAIRO, <br />Liber Page <br />n/a n/a <br />W AIRPORT RD <br />NE 68824 -9538 <br />COURT RECORDING <br />UCC No_ Serial <br />INFORMATION: <br />No. <br />\ <br />915764679 - 201508187 <br />Kind 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 />Kefiling <br />(e) <br />Unpaid Balance <br />of Assessment <br />(f) <br />1040 <br />12/31/2011 <br />XXX -XX .-5548 <br />08/08/2014 <br />• <br />09/07/2024 <br />85998.27 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802 - 1692 <br />$ 85998.27 <br />the <br />Aug, 10. 2016 3:25PM NE Secretary of State - UCC <br />This notice was prepared and signed at <br />CHICAGO, IL , on this, <br />Signature <br />27th day of July , 2016. <br />6 "4- 01 <br />2 04 06915 1F6 <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 />Federal Tax Ilen Rev. Rul. 71 -466. 1971 - 2 C.B. 409) Form 668 (Z) IRev. 10 -20001 <br />Part 1 - RECORDING OFFICE CAT. NO 000261 <br />