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ADAMS COUNTY, NE
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INST. N0. '' 5 9 4
D1a~te~~~a~-~~Time 3 ;~P.n'1
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REGISTER OF DEEDS
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RESERVED FOR REGISTER OF llEEDS RECORDING SPACE
ADAMS COUNTY NE
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i;:; 27/X•07 ^ZI?U 15:02 Lear ~!'? ~F 1 44.::' UC_ 3'iCnti^nZF OP ST'7xT'c' __. _. .?~a.~y~,3
4553 Department of the Treasury - Ulternal Revenue Service
dorm 668 e~.) ~er>tif~c~te of ~eDe~s~ ~9° F~dera~l T~ac ~qee~
tRa~•. to-zoooJ ,
n i~~; C~3
0 '75594
Rrea acne! Number For Jse by Recording Office ^
SMALL BUSINESS1o~'S~r nM2L~X13b AR)9 fl4
Lien Unit f'hom~ (30G1
9~3 6~SC
--~- -__ 399F12d593
Y
-4
I cer!ify that the follovvir.{.;-name) taxpayer, ;!r,~drtiid requirements of section fi3r (a( n c s.~ of S tela .loon R Peke • US rH[~
`
cf the Internal Revemla Cbde .;as satn,fied the taxes Iistod below and aC statutory i~ ~
(~
additbns. Therefore, the Ilse ;.ruvidad tsy Code sect!cn 6321 for these faxes and I
additions has been released. 'f.he proper cftioel in the office ~rrhere the notice of
Internal revenue tax Ilan was filed on N3,~ Ll _ j
1998 is authorized x' note i?e books to show the release of *.hs lien for ~ ~ i ~ !(I
_
iheSe tares and addit10r16. 9
!S 9075
G _TNT' 389
rRE 53-1 Pfl=: t
dIM
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tlod;
12
:27!2907 9.:27 PIS
.
.
Herne OT Taxpayer ~....»..
JIM MCIIJ'^'rP.fi
Fesidence&18 S DL"F:1.~Ni:>'~'Ci:'.d t"1V}w (
Y:ASTINGS, NE L~$'iC1-5917.
COiJE?T RF•CC,.hDIP:G IP1F012MAT'IUN:
Liber Fage ~~ca_-z.. Serial No.
nfa nfa ~49800235~ 19982353
Kind of Tea:
Tax Period
~tndittp
~~
9dentiying Idarrikter
'_Date of
• Assessment -
last Dad far
fYefihng
Unpaid Balance
of Assessment
940. 12/3i.%199.`i X17•-U7';566$ 12/22%1997 01/21/7608 2949.51
941 12/.31/1996 4^-0'775068 Ou/16/i99'7 07/lE/2U07 11941.59
941 12/3].11996 47-0775668 07f21/1:9^. 68/20!2007
941 D3/31j1997 47-0'1'15668 Oh(16,/7.99.7 07/ifs/7.007 7252.61
941 03/31/1997 ( 47-0775568 07,/1:1/1997 06/20%2.007
941 C6 f 30%199 7 i 4i--0?^SE68 09%22,11 997 16/22/200'1 7567. ^c7
941 U6/3iJ/1997 ! 47-4'775668 ?.0;2'1f1997 11; l6/2DD7
***~*~l~ick~r Rit'k*-t*#l~~A~~k is .y ~kx*-+t kl?x~kk*~~k :kx *~1'*k#~~k k:(fii:* F*isk*klk~~t*~i:Ic* #ir it ~'•k :F •Ic*k**>k#{~**it
1
('lar.:e of Filing
h0CJ18(..FL Ot )-: c'.Pljfi
:-~aamtl c<:lA*lty Total $ 29711.5x3
Hastings, NE 58901
Titre Director, Cainpu~ Compliar_ce
OperaL-ions
(NOTEx Certificate of officer acthori.ad by lar~ to rake acknoovledgiiients is not essential to the validity of Certifioats of Refeese of
Federal7ax lien. Rev. Ruf. 7t-4Sfi, 1971 - 2 C.B. x091 Farm d6B (Z) (RCY: 10-2000) `,~
Patt 1 - RECOROJMG OFFICE CAT. 1'0 60026'5 JJJ
adz
This notice was pr>spared and signer! :it
Otttaha, PIE
the 02ri3 iJa~,' of DecefnJJer :lJD7
Signature ~~ .~-~ J
? 1. ~. ) . uZ.c~~
on this,
~I-.
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