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202403440 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2407000563-7 Pages: 1 <br />Debtor Name: JOSHUA R SHERWOOD <br />Filing Date and Time: 07/23/2024 08:25 AM <br />Form 668 (Z) <br />(Rev. 10.2000) <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 />398198619 <br />For Use by Recording Office <br />I certify that the following -named taxpayer, under the requirements of section 8325 (al <br />of the Internal Revenue Code has satlafied the taxes listed below end all statutory <br />additions. Therefore, the lien provided by Code section 8321 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 December 27 <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 />JOSHUA R SHERWOOD <br />Residence201 WEST PLUM <br />DONIPHAN, NE 68832-0000 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 1912001436-1 201908159 <br />Tax Period <br />Date of <br />Last Oryry for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiiinm <br />of Assessment <br />(a) <br />(b) <br />(c) <br />(d) <br />(e) <br />If! <br />6672 <br />03/31/2018 <br />XXX -XX -1733 <br />09/30/2019 <br />10/30/2029 <br />15914.61 <br />6672 <br />06/30/2018 <br />XXX -XX -1733 <br />09/30/2019 <br />10/30/2029 <br />16299.31 <br />6672 <br />09/30/2018 <br />XXX -XX -1733 <br />09/30/2019 <br />10/30/2029 <br />17131.24 <br />6672 <br />12/31/2018 <br />XXX -XX -1733 <br />09/30/2019 <br />10/30/2029 <br />17011.34 <br />r********e************,t**********v************,t****e*****'r**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 66356.50 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />29th day of May , 2024 , <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOM 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. Rol. 71-466, 1971 - 2 C.B. 4091 <br />Part I - RECORDING OFFICE Form 668 (Z) 1TCAT.. NO 6 800261 <br />1 <br />00281 <br />