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202403453 <br />NE Sec of State - Robert B. Evnen <br />Filing Document 4: 2407000613-1 Pages: 1 <br />Debtor Name: TORY M SEMM <br />Filing Date and Time: 07/24/2024 09:00 AM <br />Form 668 (Z) 3005 <br />IRev.10-20001 <br />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: (8001 913-6050 <br />Serial Number <br />291004417 <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 tiled <br />on January 22 <br />2018 <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 />TORY M SEMM <br />Residence4174 ARIZONA AVE <br />GRAND ISLAND, NE 68803-1110 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 9918804802-6 201800434 <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 />Wiling <br />of Assessment <br />(el <br />(b) <br />(cl <br />(dl <br />lel <br />(1) <br />1040 <br />12/31/2009 <br />XXX -XX -8961 <br />05/21/2012 <br />06/20/2022 <br />1391.36 <br />6672 <br />12/31/2004 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />349.67 <br />6672 <br />03/31/2005 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />4696.40 <br />6672 <br />06/30/2005 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />3778.32 <br />6672 <br />09/30/2005 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />4399.21 <br />6672 <br />12/31/2005 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />5477.20 <br />6672 <br />03/31/2006 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />5516.31 <br />6672 <br />06/30/2006 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />4891.15 <br />6672 <br />09/30/2006 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />5813.16 <br />6672 <br />12/31/2006 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />4713.69 <br />6672 <br />03/31/2007 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />5688.70 <br />6672 <br />06/30/2007 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />5074.97 <br />6672 <br />09/30/2007 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />5381.58 <br />6672 <br />12/31/2007 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />3829.62 <br />6672 <br />03/31/2008 <br />XXX -XX -8961 <br />12/14/2015 <br />01/13/2026 <br />1705.53 <br />*********************************.***********************t**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 62706.87 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at CHICAGO, IL , on this, <br />the <br />08th day of May 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. 10-2000) <br />Part I - RECORDING OFFICE CAT. NO 600281 <br />