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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201001307-8 Pages: I <br />Debtor Name: MATTHEW GEISER <br />Filing Date and Time: 01/26/2022 10:12 AM <br />20220067c <br />Form 668 (Z) <br />1Fev. 10-2002t <br />3005 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />278245317 <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 fisted 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 September 21 <br />2017 <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 />MATTHEW & LISA M GEISER <br />Residence4196 TEXAS AVE <br />GRAND ISLAND, NE 68803-1054 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9917798479-8 201706403 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiting <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2014 <br />XXX -XX -1914 <br />11/16/2015 <br />12/16/2025 <br />1040 <br />12/31/2014 <br />XXX -XX -1914 <br />04/24/2017 <br />05/24/2027 <br />4235.57 <br />1040 <br />12/31/2015 <br />XXX -XX -1914 <br />11/28/2016 <br />12/28/2026 <br />51065.08 <br />********,t*,r***** <br />r**,r**,t**********�*** <br />t******************* <br />***,t****,r****,t** <br />Place of Filing <br />Register of Deeds <br />Ha 11 POEOX 1692 Total <br />$ 55300.65 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the <br />05th day of January 2022 <br />CHICAGO, IL <br />, on this, <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOTE: Certificate of ofticer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rel. 71,466, 1971 - 2 C.R. 4091 Form 668 (Z) (Rev. 10.2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />