Laserfiche WebLink
NE Sec of State - Robert B. Evnen <br />Filing Document #: 2212001045-7 Pages: 1 <br />Debtor Name: SHANNON CROSBY <br />Filing Date and Time: 12/29/2022 10:04 AM <br />202208887 <br />__*__ <br />Form � (Z) <br />iRay. fo-a0001 <br />17628 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: (800) 913-6050 <br />221396016 <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 July 29 <br />2016 , is authorized to note <br />the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />SHANNON CROSBY <br />Residence2680 SAINT PATRICK AVE <br />GRAND ISLAND, NE G8803-1307 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 201604874 9916777668-2 <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 />Refiling <br />of Assessment <br />(al <br />(6) <br />(c) <br />(d1 <br />(e! <br />(fi <br />6672 <br />12/31/2004 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />2861.05 <br />6672 <br />03/31/2005 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />4461.10 <br />6672 <br />06/30/2005 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />3589.01 <br />6672 <br />09/30/2005 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />4178.79 <br />6672 <br />12/31/2005 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />5202.78 <br />6672 <br />03/31/2006 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />5239.93 <br />6672 <br />06/30/2006 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />4646.09 <br />6672 <br />09/30/2006 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />5521.90 <br />6672 <br />12/31/2006 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />4477.52 <br />6672 <br />03/31/2007 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />5403.68 <br />6672 <br />06/30/2007 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />4820.70 <br />6672 <br />09/30/2007 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />5111.95 <br />6672 <br />12/31/2007 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />3637.75 <br />6672 <br />03/31/2008 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />1620.07 <br />6672 <br />06/30/2008 <br />XXX -XX -4476 <br />12/14/2015 <br />01/13/2026 <br />2238.36 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 63010.68 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the 16th day of December 2022 <br />CHICAGO, IL <br />, on this, <br />Signature <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) Form 668 (Z) (Rev. 10-20041 <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />