Laserfiche WebLink
202301390 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2303001026-3 Pages: 1 <br />Debtor Name: ROBIN L HENDRICKSEN <br />Filing Date and Time: 03/23/2023 11:58 AM <br />__*__ <br />Form 668 (Z) <br />. <br />mo,10 2000; <br />3005 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 />273126217 <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 lion 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 23 <br />2017 , 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 />ROBIN L HENDRICKSEN <br />Residence2514 N WEBB RE <br />GRAND ISLAND, NE 68803-1338 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9917796993-6 201705712 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b/ <br />(c) <br />(di <br />(e) <br />(f) <br />1040 <br />12/31/2014 <br />XXX -XX -4197 <br />06/08/2015 <br />07/08/2025 <br />19680.73 <br />1040 <br />12/31/2015 <br />XXX -XX -4197 <br />06/06/2016 <br />07/06/2026 <br />15782.69 <br />************************** <br />*,r**** <br />***********************,**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 35463.42 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 08th day of March 2023. <br />Signature <br />&L. <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. 4091 Form 668 (Z) (Rev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />