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RESERVED FOR REGISTER`OF DEEDS RECO
ADAMS COUNTY NE
ADAMS COUNTY, NE
FILED
INST. N0._,.~.Q:~j.,~.
Dated ~3_~Time~33PM
~~'~
REGISTER OF DEEDS
SPACE
PAGE 1 OF 2 PAGES
l?3/!j/1GUt+ TH[] 14:4'; Fr?.l, li0l 4i1 44=5r v~:C' ;;c:kETARY OP STATE ~~-~ Adams 110~:+4i~0o
w ~-
_._*__
4053
Farm b6i3 (Z7
(Ra.^~. 10.20001
~e~artment of tha Treasury -internal Kev~rtue Service
' of Feder~~ Tex Lien
Arta: Serial Number
SNALL BT7SILv'ESt/SEI1.F EhiPLt'aYED AREA #4
Lien Unit Phone: (8(3;l} 913-6650 390256634
! certify that the tollovviny-named taxpayer, under the requiremants of section 6326 ;a)
of the Internal Revenue Code has ,atisfied the .axes listed below anti alt statutory
additions. Theretare, the lien provid~:_l by bode section >~32 i fog thc:~e takes and
additions has been reiaased. The proFer atficer in tho offioe v~rhere the netioe of
interr-tal rc:ven~e tax ilen was flied on _ April 25 __
2002 i9 authorired tc~ note tits honks to shorty the relea:;e of this lien for
these taxes and additions.
Name of Taxpayer
C7-iRR"CE L WILLS BLOOI~FIELD c~n:Ly; * C~tRT_E L WILLS
BLOOMFIELD only, in. the liability of CARKIE L WILL rx
VERON M BLOOMFIELD.
Residence206 W D ST
T~.ASTTNl7S, NL'r",5901-b159
COURT ~tE'~yO~t.U ~:PdG INFQRM.~TTON:
Liber >?age U~~' No. _._~, Serial N'o.
NE Sec rF SFeie JeW: A Sslt - 4Cr Fpfi:.
i ~? l I
i.
ti
99t38a51663-2 1'ys: t
BL40M~IfiD UERON MI
Filed: ~J3/13/2009 11:01 AN
2002 2201 G9022:L1~~~~-4 J ZUC2220 1
Tax ~erind Dante of Last ®ay for t tlnp~sid garance
Kind of Tax Ending ldentifyrng Aiumber Assessment Ref~tling at Assessment
!mil !bJ !CJ l~J le.~ !~J
lOrIO 12/31f1998 ~Y,~-XY-3383 "'_1/22/1999 12/22/2009 585.49
"1040 12/:31%1'99 ~ X:~:-xx-3383 09/2a/aoao lU/25/2010 7.33h.91
*The co iti:}ns ~or release of th Notice of t~ederal `?'ax. ten s.~ainst
CARPIE WILLS & t~ Or~i M BLOOMFT~ D have bee met by CARP. E L WILLS
BLOOMFTE D. This c .rti£ic~:te zeI .ases the I S's ~.ldim to property and
rights t property ~ s it. pertains to the tax ears identi i?d above far
CA.RRIE L WILLS BL' Qr,~N FIELD only.
Place or Filing
Re~isLe:~ of Decd;s
Adams County
Hastir~~xs, NE 689U1°
Tots! ~$ 192,.40
'This nutice vvzs prepared ant! signed at
C:iICt~GU, II,
the 24th day of February 2 U 0 8
~ignai.ure
CYri this,
Title Director, Campus !='~ampi.ianoe
Operation,
(T14iF~ ;;artifieata of officer authorized by !aw to tah_e actcnoivledc,rnents is -rot e: sential to the validity r1f Garrificate c# Release of ;J"~
Federal lax lien Rem. Rui. 71-466, 1971 - 2 L.4. 409) /~-~~
Part 0 - iY~CORD~l81G O~F(C1E Form bb#t (~) (Rao. ', w-2~0} ~ ~~,~
CqT. NO 64Q264 J
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