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201703501
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7/3/2017 5:40:41 PM
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5/25/2017 4:02:08 PM
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DEEDS
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201703501
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Form 668 (Z) <br />(Rev. 10 -2000) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (B00) 913 -6050 <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 lien 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 August 17 <br />2010 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />RUSSELL A EHLERS <br />Residence 214 S BROADWELL AVE <br />GRAND ISLAND, NE 68803 -5444 <br />COURT RECORDING INFORMATION: <br />Liber Page U Serial No. <br />n/a n/a 9910634838 -9 2010085823 <br />Kind of Tax <br />(a) <br />1040 <br />1040 <br />** *** *** * * * * ****** ** <br />Place of Filing <br />This notice was prepared and signed at <br />the <br />Signature <br />25. 2517 4.54FM, NE Secretary .f State — UCC <br />11874 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Tax Period <br />Ending <br />/b) <br />12 <br />12/31/2008 <br />03rd d o f May <br />Identifying Number <br />(c1 <br />XXX-XX -5856 07/12/2010 <br />XXX -XX -5856 07/12/2010 <br />* * * * ** * ** * * * ** * * * * * * ** * *.* <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />CHICAGO, IL on this, <br />2017 <br />Serial Number <br />686229110 <br />Date of <br />Assessment <br />(d) <br />Last Day for <br />Refiiing <br />(e) <br />For Use by Recording Office <br />NE too of 14MMe John R 4.1. - UGC [RGTL <br />9917792548 -9 Pys: 1 <br />EHLERS RUSSELL A <br />Filed: 55/25/2017 11:21 AM <br />Total $ 6486.75 <br />Unpaid Balance <br />of Assessment <br />(f) <br />08/11/2020 2686.70 <br />08/11/2020 3800.05 <br />* * * * * * * * * * * * * * * * * *x * * ** * * * * ** <br />Title <br />Operations Manager, <br />Centralized Lien Operation <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 lien Rev. Rul, 71 -466, 1971 - 2 C.B, 409) c....., AAA ,T• ram.. s 'L9rr / .► <br />
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