Laserfiche WebLink
07/O1/z009 WED 15:13 FAX 402 471 4429 ^CC SECRETARY OF STATE ~»y-~ Hall <br />~ooz/oo4 <br />8801 Department of the Treasury -Internal Revenue Service <br />~ Form bb8 (Z) <br />;R~: ,0.~0~0, Certificate af.,lease of Federa~tTax Lien <br />200905352 <br />Area: Serial Number For Use by Recordin Office <br />SMALL BUSINE33/SELF Fs'MPLOYEI] AREA #4 NE See or Spa+a Jahn A 6~ta . UCC CRFTL <br />Lien Unit phone: (80p) 913-6050 480771208 <br />I certify that the following-named taxpayer, under the requirements of section 6325 la) <br />of the Internal Revenue Code has satisfied the taxes fisted below and all statutory <br />additions. Therefore, the lien provided by Code section 6327 for these taxes and <br />additions has been released. The proper officer in the office where the notice of 99096010®9-0 Pss: , <br />internal revenue tax lien was filed on OCtOber 22 ~-INGIN5MITH DENNETp M <br />Filed: 09/01/2009 11:30 AM <br />2 0 0 8 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />DENNSTA M KLINGTNSMITH <br />Residence ].621 HAGGE AVE <br />GRAND ISLAND, NE 68801-7446 <br />COURT RECORDING TNI:'ORMATTON: <br />Liber Page UC o. Serial No. <br />n/a n/a 90 0200808918 <br /> Tax Period Date of last D for Unpaid Balance <br />IGiind of Tax Ending ldentlfying Number Assessment Refi~ng of Assessment <br />a b) c d) e f <br />1040 12 31/2004 XXX-XX-0722 03 05/2007 04/04/2017 3622.27 <br /> <br />Place of Filing . <br />Register of Deeds <br />Hall POSOX 1G92 Total $ 3522.27 <br />Grand Island, NF 58802-1592 <br />This notice was prepared and signed at <br />the <br />Signature <br />17th day of June <br />CHICAGO, IL <br />2009. <br />on this, <br />~~~~~ Title Director, Campus Compliance <br />Operations <br />..__._. _......._...........................,.~......r ..................n.......,...y........d ...........,..... ...............~....., ..............._......_......._ _. <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 7 C.B. x091 Form 668 (Z) (Rev. 10-2000) <br />...... - :. ... Part t - RF.CORbING OFFICE .:._ , CAT. NO 600261 // <br />