200315711 - Laserfiche WebLink

Browse

12/04/2003 11:52 FAX 14024714429 NEBRASKA UCC X, 11L 9 5169 Department of the Treasury - Internal Revenue Service Form 668 (z) Certificate of Release of Federal Tax Lien (Rev_ 10 -20001 Area: Serial Number For Use I SMALL BUSINESS /SELF EMPLOYED AREA #9 Lien Unit Phope: (655:0 312 -8080 799933004 I certify that the following -named taxpayer, under the requirements of section 632'5'(3') of the 'Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 6321 for these taxes and additions has been released. The proper officer in the office where the notice of iraernaI revenue tax lien was filed or October 13 _ 1999 , is authorized to note the books to show the release of this lien for these taxes and additions. Narne of Taxpayer DEBRA J PANKOKE 005 Recording Office I Pas 1 !:12 PM 2 0 0 3 1 5` 1 Residence RT 1 BOX 220 1 GRAND ISLAND, NE 68803 -9301 COURT' RECORDING INFORMATION: L iber P e'__UCC NO. -_. 'er -al No. n/a a X99`9885068 9 109994 Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refi[mg of Assessment (a) (b) (c) (cll (e) (fl 6672 C3/31/1989 507 -94 -9424 10/16/1989 11/15/1999 3221.61 Place of Filing Register of Deeds Hall POBOX 1692 Total $ 32211.61 Grand Island, NE 68802 -1692 Omaha, NE This notice was prepared and signed at on this, X, the !7th day of August 2003 v' Signature Title Compliance Technical Support Manager (NOTE: Certificate of officer authori2ed bq law to take acknowledgments is not essential to the validity. of Certificate of Release of Federal Tax her Rev. Rul. 71 -466, ' 971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000)