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202301789 <br />NE Sec of State - Robert B. Evnen <br />Filing Document 4: 2304000628-7 Pages: 1 <br />Debtor Name: LEIGH A WOITASZEWSKI <br />Filing Date and Time: 04/13/2023 10:43 AM <br />Form 668(2) <br />(Rev. 10-2000) <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 #7 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />433441421 <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 on July 02 <br />2021 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />Name of Taxpayer <br />LEIGH A WOITASZEWSKI <br />Residence2903 HANCOCK PLACE APT 357 <br />GRAND ISLAND, NE 68803 <br />Liber <br />n/a <br />Page <br />n/a <br />COURT RECORDING INFORMATION: <br />UCC No. Serial No. <br />2107000084-8 202105886 <br />Kind of Tax <br />(al <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(dl <br />Last Day for <br />Baling <br />(el <br />Unpaid Balance <br />of Assessment <br />(F) <br />6672 <br />6672 <br />6672 <br />6672 <br />6672 <br />6672 <br />6672 <br />******** <br />12/31/2016 <br />06/30/2017 <br />12/31/2017 <br />03/31/2018 <br />06/30/2018 <br />09/30/2018 <br />12/31/2018 <br />*********** <br />XXX -XX -5001 <br />XXX -XX -5001 <br />XXX -XX -5001 <br />XXX -XX -5001 <br />XXX -XX -5001 <br />XXX -XX -5001 <br />XXX -XX -5001 <br />************* <br />10/14/2019 <br />10/14/2019 <br />10/14/2019 <br />10/14/2019 <br />10/14/2019 <br />10/14/2019 <br />10/14/2019 <br />*********** <br />11/13/2029 <br />11/13/2029 <br />11/13/2029 <br />11/13/2029 <br />11/13/2029 <br />11/13/2029 <br />11/13/2029 <br />************ <br />55294.48 <br />3641.66 <br />16313.90 <br />13314.42 <br />12606.09 <br />13314.42 <br />8297.20 <br />r**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total $ <br />122782.17 <br />This notice was prepared and signed at <br />the <br />29th day of March <br />CHICAGO, IL <br />2023, <br />on this, <br />Signature <br />ttiL <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. 71.466, 1971 • 2 C.B. 409) Form 668 (Z) IRev. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />