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201906431
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10/16/2019 3:22:24 PM
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10/16/2019 3:22:24 PM
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DEEDS
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201906431
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NE Sec of State - Robert R. Evnen <br />Filing Document 4: 1910000854-8 Pages: 1 <br />Debtor Name: JAMES H TRUELL <br />Filing Date and Time: 10/16/2019 12:23 PM <br />201906431 <br />Form 668 (Z) <br />aeu- 1o42(t)0} <br />17489 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (300) 913-6050 <br />956267113 <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 <br />on August 28 <br />2013 <br />, is authorized to note <br />the books to show the release of this lien for <br />these taxes and <br />additions, <br />Name of Taxpayer <br />JAMES H TRUELL & KARLA J ANDREASEN <br />Residence 903 W DIVISION ST <br />GRAND ISLAND, NE 68801-6451 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a nja 9913721719-9 201307061 <br />Tax Period <br />Date of <br />Last <br />Da for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />g <br />of Assessment <br />fa) <br />(b) <br />fa) <br />(d) <br />tel <br />If) <br />1040 <br />12/31/2007 <br />XXX -XX -6144 <br />08/05/2013 <br />09/04/2023 <br />41688.92 <br />1040 <br />12/31/2008 <br />XXX -XX -6144 <br />08/05/2013 <br />09/04/2023 <br />28450.90 <br />1040 <br />12/31/2010 <br />XXX -XX -6144 <br />08/05/2013 <br />09/04/2023 <br />24822.65 <br />1040 <br />12/31/2011 <br />XXX -XX -6144 <br />08/05/2013 <br />09/04/2023 <br />18715.89 <br />******,t* <br />**********************s*.,r*******,t*air*,t*******************tart***• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 113678.36 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />CHICAGO, IL <br />the_ 20th day of September, 2019, <br />Signature <br />Title <br />erations Manager, <br />Centralized Lien Operation <br />, on this, <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 ken Rev. RuL 71-466, 1971 - 2 C.9. 409) <br />Part I - RECORDING OFFICE Form 668 (Z) Rev. <br />CAT. NO 600261 600261 <br />
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