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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2212001232-1 Pages: 1 <br />Debtor Name: WENDEL G FETTIG <br />Filing Date and Time: 12/30/2022 01:49 PM <br />202208915 <br />Form 668 (Z) <br />(Rev. 10-2000) <br />17628 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: 000) 913-6050 <br />Serial Number <br />243020716 <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 January 18 <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 />WENDEL G FETTIG <br />Residence 1112 W 5TH ST <br />GRAND ISLAND, NE 68801-4416 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9917785535-3 201700406 <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 />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(al <br />(f) <br />1040 <br />12/31/2009 <br />XXX -XX -6923 <br />07/04/2016 <br />08/03/2026 <br />4830.36 <br />1040 <br />12/31/2011 <br />XXX -XX -6923 <br />04/18/2016 <br />05/18/2026 <br />1493.78 <br />1040 <br />12/31/2012 <br />XXX -XX -6923 <br />04/18/2016 <br />05/18/2026 <br />2179.73 <br />*********************************<****t <br />******************t**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 8503.87 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the 26th day of October , 2022, <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 Tax lien Rev. Rul. 71466, 1971 - 2 C.B. 4091 <br />Part I - RECORDING OFFICE Form 668 (Z) (Rev. 10-2000) <br />CAT. NO 600261 <br />