Laserfiche WebLink
r <br />09/08/2005 09:08 FAX 14024714429 NEBRASKA UCC 1002 /003 <br />200508860 <br />This notice was prepared and signed at <br />the 31st day of August <br />2005 <br />ST PAUL, MN <br />Signature <br />�iL4d <br />, on this, <br />Title Director, Campus Compliance <br />Operations <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, 9971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE rAT NO 500261 <br />,r <br />1872 Department Of the Treasury - Internal Revenue Service <br />Form bb6 (Z) <br />Certificate of Release of Federal Tax Lien <br />(Rev. 10-2000) <br />Area; <br />Serial Number <br />For Use byRecording Office <br />SMALL BUSINESS /SELF EMPLOYED AREA #9 <br />Lien Unit Phone: (800) 913 -6050 <br />235663505 <br />of <br />N2 fwe 3444• - UCC Tma <br />1 certify that the following -named taxpayer, under the requirements of section 6325 ( <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 July 12 <br />_ <br />2005 , is authorized to note the books to show the release of this lien for <br />9055431251 -5 P9s: 1 <br />, <br />these taxes and additions. <br />0 9/0 <br />Filed: 7/2005 08;06 PM <br />_ _ <br />Name of Taxpayer <br />JAMIE HAGAN <br />iw' i <br />11 <br />�" ": Iuy+ <br />Residence 9 2 6 E CHESTNUT ST <br />CLARINDA, IA 51632 -1939 <br />m x` <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9905402951 -8 200506375 <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 />r81 <br />(b) <br />(C) <br />td) <br />fe) <br />rf� <br />940 <br />12/31/2004 <br />41- 2140120 <br />05/09/2005 <br />06/08/2015 <br />3971.52 <br />941 <br />06/30/2004 <br />41--2140120 <br />05/02/2005 <br />06/01/2015 <br />8721.71 <br />941 <br />09/30/2004 <br />41- 2140120 <br />05/02/2005 <br />06/01/2015 <br />15850.39 <br />941 <br />12/31/2004 <br />41- 2140120 <br />05/02/2005 <br />06/01/2015 <br />16816.47 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 45360.09 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 31st day of August <br />2005 <br />ST PAUL, MN <br />Signature <br />�iL4d <br />, on this, <br />Title Director, Campus Compliance <br />Operations <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, 9971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part 1 - RECORDING OFFICE rAT NO 500261 <br />,r <br />