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ADAMSFIOUNTY, NE
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REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 OF a PAGES
04;'15/?0~)H TL'E 15; Ora r'.'A:i !,~ ~ ;71 4:t~ 4 )~'~ SEt:RETAR~ uP ,".,TATS ~--~ .nd.am:
35c~2 ucprrtment c. tr•~e'rreasury •• Internal Revenue 5er~.'ice
~~„~ 6~~ ~z) ; Cert~~a:a~t~ of ~.el~s~ og ~edera! flax L"ae~
!area: Serial Num~ar For U:,~ ~y Recoraing C}ffice
W1ACYk' ~[ r•~+"~+~'11•SC11~ ~~it13'X~ y~G 4E 5¢c of Siets 'John q Ga:g - UCC CNF7L
Lien Unit Phone: (800) 913-~6n5(1 ~~ 390256034. ~ ~ )~ ~ ~I ~ ' i
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1 vertify that ttte i0ii0WinC~-narllEf) taX~taye+'; ui•rder t);e requirements of section 6325 ia) ~
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of the Internal RevQnue Code iRa;;' liati.~riE3~ 1:he ~raxas listed bolt~~ and ail statutc,ry
additions. Therefors, thra itzn }~rov)rird t:t' r:rk;~ sec~tlort d~?1 fai thews taxes: and i~ ~ ~ ~
~
additiats !.as been rel a.--~ . T' r , ~, . a A
e Sa.i ne P op~.r .f.r~er rn the Lft+c., urbane the nvtrc., of li i
d:
a
9..0d#'356m95-3 Pas: t
fnYerrikai revenue lax it(:rl ~va& f1i~CC Cin ~ I":11. i'r3 9LOOM~I£i.D VERON M
__ 2 0 U Z ___, is auth~riz2r9 tc n~~te the ttcrglis to show tha release of this lien. far Filed: 04/15!2008 t2: 38 Pfd
these taxes acid additions.
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Marne of Taxpayer
Veron tai. Blc~~,~m,~'~e::.d
- - - ~ -
Residenr~R206+ W 17 S'~
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JiAS`i'I.,~3CrS, Ivri~ ;8907.-Fy~?'a
C>,~Cfi~.T R~C`.GRDING 1:I~iFGRM_~`.?"IUIti : -
Liber Page L7.(,r Nr:;. Ste-'°~ ai No.
2UU2 22(s'1 990221.].429-4 20U222U7-
~~
~'a~t i'eriod
' ~+ate at i.asc Qaw far ilnpa"rd Balance
Kind a~ Tax ~nd~ng i~denrifyin~ lQtrcttl~ee~ e~ssessnrtcnt l~.efl~n~ c-f A-ssasstnent
104(1 12f31%199? ;~,'X-~-.;3a3 08%30/1999 09/?9/2009 2405.26
IO~1U 12/3.1/19:8 Y},X-•XX_--33k53 11%22J1999 12/22/OU9 585.49
1040 12/31f1`:~99 ~-.~K-3383 U9/25/200U 10/2S/Z010 1336.9'1
7~tMf~k ~kfff *~f~tff ~f~r 9:f it ~kk~:F ~Yffir Ytf#*# fit iF&*~*&*ir* *~Yr is*ir A•f it***•*~. tt ~k it fr Y; ~t 4r :l~tit ~r~'k ~{"~c 'A*ir
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Place of Filing
i~~gi ~te,:~ ~~ ~eeas~
?~~.ams CCUnt~i Total ;' 43 2 7 . ~ C~
Hastings, t~'~' 68901
!-his notice was prepared and signed at ~___
the T USth day r}l ~Marcll 2008
Signature ~~~'~ ~ ~~-~+ •~
r ;. h', ~'~,~
Title pi,:ector, Carr~>~s C'o;npliQn.r-e
C>porat ions
(NOTE: Certificate of nfficer authnrired by law to take acknowledgmen~s is npt essantle! to the valiJ`[y of Uert;ficate of Release of
Federal "fax liar. l3ev. Rul. '~'>•485, '1y71 - 2 x.13. 4U~"} Form DG8 (~:) (Pfau, '10-~G00)
Part 7 • iREC4RDi<!1G tl~~1~E 2J?7. iV0 600261
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