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20240 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2406000236-7 <br />Debtor Name: THOMAS E CADWALADER <br />Filing Date and Time: 06/11/2024 09:10 AM <br />Pages: 1 <br />Form 668 (Z) <br />(Rev, 10-20001 <br />5829 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />359083719 <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 arid 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 May 31 <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 />THOMAS E CADWALADER <br />Residence2407 W 4TH ST <br />GRAND ISLAND, NE 68803-4507 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 1905002006-1 201903120 <br />Tax Period <br />Data of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Idendfying Number <br />Assessment <br />Refiling <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(dl <br />(el <br />(f) <br />6672 <br />03/31/2017 <br />XXX -XX -6108 <br />07/02/2018 <br />08/01/2028 <br />8536.78 <br />6672 <br />06/30/2017 <br />XXX -XX -6108 <br />07/02/2018 <br />08/01/2028 <br />10742.71 <br />6672 <br />09/30/2017 <br />XXX -XX -6108 <br />07/02/2018 <br />08/01/2028 <br />10771.42 <br />6672 <br />12/31/2017 <br />XXX -XX -6108 <br />07/02/2018 <br />08/01/2028 <br />12675.10 <br />*********************************.******************e**** <br />'n**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 42726.01 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />17th day of April <br />2024, <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. 71.466, 1971 - 2 C.B. 4091 Form 668 (Z) (Rev. 10-20001 <br />Pan 1 • RECORDING OFFICE CAT. NO 600261 <br />