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NE Sec of Statc - Robert B. Evnen <br />Filing Document #: 1911000180-9 Pages: 1 <br />Debtor Namc: MICHAEL A KRAFT <br />Filing Date and Time: 11/05/2019 12:12 PM <br />201906967 <br />Form 668 (Z) <br />tRev. 10-20001 <br />17505 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA l6 <br />Lien Unit Phone; (800) 913-6050 <br />Serial Number <br />342451019 <br />For Use by Recording Office <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was filed <br />on March 28 <br />2019 <br />, is authorized to note <br />the books to show the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />MICHAEL A KRAFT <br />Residence 7561 S LOCUST ST <br />DONIPHAN, NE 68832 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 19030013984 201901790 <br />Tax Period <br />Date of <br />Last <br />Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />01) <br />(b) <br />(c) <br />(d) <br />(e) <br />in <br />6672 <br />03/31/2016 <br />XXX -XX -1214 <br />01/01/2018 <br />01/31/2028 <br />7132.22 <br />6672 <br />06/30/2016 <br />XXX -XX -1214 <br />01/01/2018 <br />01/31/2028 <br />7243.79 <br />6672 <br />09/30/2016 <br />XXX -XX -1214 <br />01/01/2018 <br />01/31/2028 <br />6335.76 <br />6672 <br />12/31/2016 <br />XXX -XX -1214 <br />01/01/2018 <br />01/31/2028 <br />5956.91 <br />6672 <br />03/31/2017 <br />XXX -XX -1214 <br />01/01/2018 <br />01/31/2028 <br />1734.64 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ <br />28403.32 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 16th day of October 2019, <br />Signature <br />a.L. a.er <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />federal Tax lien Rev. Rol. 71-466, 1971 - 2 C.B. 409) Form 668 Cl) (Rev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />