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201708814
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12/27/2017 3:29:15 PM
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12/27/2017 3:29:15 PM
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DEEDS
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201708814
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DE Dec. 27. 2017 3:17P11 <br />NE Secretary of State — UCC <br />s <br />Form 668 (Z) <br />(Rev. 10 -2000) <br />2284 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (Boo) 913 - 6050 <br />Serial Number <br />2841].4017 <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 8321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax Tien was filed on November 07 <br />2017 , is authorized to not the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />B & B CARPET SERVICE INC, a Corporation <br />ReeidencePO BOX 6 <br />DONIiRAN, NE 68832 - 0006 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No, <br />017801314-6) <br />n/a n/a 201707623 <br />Tax Period Date of <br />Kind of Tax Ending Identifying Number Assessment <br />[a) (b) (c) (d) <br />941 03/31/2017 XX- XXX2291 07/10/2017 <br />941 06/30/2017 XX- XXX2291 09/11/2017 <br />**** **** ***** ****** *** *********t*.* *lest * ** **** <br />Plecc of Filing. <br />the <br />Signature <br />06th d o f December , 2017, <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />Last Day for <br />� ng <br />(el <br />08/09/2027 <br />10/11/2027 <br />No. 3121 P. 212 <br />For Use by Recording Office <br />E 50c of 34.. John A GPI e - UCC CRFTL <br />I y <br />9917803645 -9 Pas: 1 <br />B & B CARPET SERVICE INCA COR <br />Filed: 12/27/2017 11:82 AM <br />201708814 <br />Unpaid Balance <br />of Assessment <br />21817.83 <br />26520.41 <br />**** * * * * * * **** <br />now $ 48338.24 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />Title <br />Operations Manager, Centralized <br />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. 11 -456, 1971 -.2 C.8. 409)- Form bbu (7) (Rev. 10 -2000) <br />Pail I - RECORDING OFFICE 1^111 111" 12M•16Y <br />7111^111 r nfl <br />
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