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ADAMS COUNTY, NE
INST. NO. F'~~08~58~
Date y-~~-a~ Time 3'_ OgP~,
~'
REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 OF ~_PAGE;S
D4i~17/200£1 T1?[: 1-S: ~~ FA;?: :G2 <71 441:9 UCC SECRE't,AY OF iTAi'd ~a_• :4Cidrn8
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Form 66~-~
(Reti•. H~ag~t 2005)
this
~OD31CD:
~oosi58~
nepamnant cf the Treasury- ir>t~~mal Nev~nue Service
Certificate of Disal~arge afi Property Front Federei'1'a,: LI2.n
rs~,,rr*~ ~aa~rr, ir~i~e i „>< rha ,,,,a,.,,,r r~~,..,..,.._ ,.,,.a..7
tarry i•C & Juke D-ye Of 1900 Utr 56`r` Hwy, t'!ty cif Olathe, County of Adams, State of f1S, is indebted to the United States for ur,paiJ
internal revenue tax in the st!m of i=ive Hundred Sixty Seven Thousand,- Five Hundred Three and Eighty Eighty/100 Dollars
($567,BC~3.88) as evidenced by:
Notice cFFedaral ---- -•
Tax L.I?n
Senul Number R•~rprdir;y fef,m:;a,ion Dale'ixxr'+~i ~ 7sxpayer Identiiicalien R'urcber AmauntShorm on Lin
1270329Q3 FieG.No.2Gt';3:i';ic~ 0€t/C)F3/20Q3 f iUCx-xx-0360 $567508.8$
I !
' ; i ~NE SBC of >{„~{g John q Gaie - UC[ 1=659
~ ` ~I
-- 990 I
i55C4i~-a Pss: t
~"~- DYE JDYCE
Fled: a41;7/2D08 02;38 PM
Alien attaching to ali the property of thr taxpayer was filed to secure the amount owed. The nonce of lien was filed with t"e
~e ister or Deeds, far the ~.o~sn ,~ •~f I~.la~ns, and also with fhe 5ecretarv cf State UCC Division, ih accordance with the ~aplical~le
pra'visions of law.
`i he lien listed above rs attached t+a cE~rtuin prop:rty described as:
Ha,inforth Subtirvision, Adan7s C•~unty ~lebraska
'1"he Internal Revenue Service aoknowlWdges receipt or Ninetwean Thousand, Gne Hundred Eic~`ity Three and Fa; ty Twollt?C
dollars ($79,183.42, the Internai Revenue Service discharges thc; ab~ive described properly from the iign. However, the iien
remains in effect for all other property, ar ri~~hts tr:~ pr'ape:iy, to wriich the, lien is 3ttach~d.
5'gnGtur \ ~ '~"~, ~ \\ - i TT-ltle~ ----- - ._~ ~,3te
David JaCgb \1 ~ \~1'l\~tY
,,,~ j GrDUp l~~~canB.l~Br ~Ei;IlniCai 5t?VICES ~ ~-
(PJote: Crrtific t officer a '. ° ~ to tape aokriowlodger;tents is Wort essential ?'a the validity or Uisoharge of
Federal Tax Lien. Hev. ~ .1.•46E, 1 gr' - , C,B. 409,)
Catalog No, 1675~N
i-•:irm 659-B (Rev, 8-20U5
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