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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2209000280-7 Pages: 1 <br />Debtor Name: KENNETH PILSL <br />Filing Date and Time: 09/07/2022 11:32 AM <br />202206515 <br />Form (z) <br />f Pev. 10-20�C!2000 <br />17489 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #2 <br />Lien Unit Phone: (8001 9:13-6050 <br />Serial Number <br />364.559819 <br />For Use by Recording Office <br />I certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2019 <br />following -named taxpayer, under the requirements of section 6325 (al <br />Revenue Code has satisfied the taxes listed below and all statutory <br />the lien provided by Code section 6321 for these taxes and <br />been released. The proper officer in the office whore the notice of <br />tax lien was tiled on July 02 <br />, is authorized to note the books to show the release of this lien for <br />additions. <br />these taxes and <br />Name of Taxpayer <br />KENNETH & ANNE PILSL <br />Residence 711 SAGEWOOD AVE <br />GRAND ISLAND, NE 68803-491.7 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 1907000115-2 201903870 <br />Kind of Tax <br />fa) <br />Tax Period <br />Ending <br />(b) <br />identifying Number <br />(c1 <br />Dace of <br />Assessment <br />(dJ <br />Last <br />Refiling <br />Day for <br />(el <br />Unpaid Balance <br />of Assessment <br />0) <br />1040 <br />1040 <br />******* <br />12/31/2017 <br />12/31/2018 <br />***********,t***********************vrtrtr**x*********************** <br />XXX -XX -9844 <br />XXX -XX -9844 <br />06/04/2018 <br />06/03/2019 <br />07/04/2028 <br />07/03/2029 <br />4011.26 <br />7911.00 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 11922.26 <br />This notice was prepared and signed at <br />the <br />17th day of August 2022 <br />CHICAGO, IL <br />--._ , on this, <br />Signature <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 lax lien Rev. Rui. 71.466, 1971 - 2 C.B. 409) Form 668 (Z) ;Rev. 14-2001 <br />Part t - RECORDING OFFICE CAT. NO 600261 <br />