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2025'30756 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2502000282-9 Pages: 1 <br />Debtor Name: GORDON P BLAKE <br />Filing Date and Time: 02/12/2025 08:52 AM <br />Form 668 (Z) <br />(Ravi 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 #6 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />461017122 <br />For Use by Recording Office <br />I certify that the <br />of the internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2022 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien was filed <br />, is authorized to note <br />additions, <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on November 02 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />GORDON P & ROSEMARY BLAKE <br />Residence 2455 LAMAR AVE <br />GRAND ISLAND, NE 68803-6233 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC NO. Serial No. <br />n/a n/a 2211000050-3 202207767 <br />Kind of Tax <br />(al <br />Tax Period <br />Ending <br />(b1 <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(di <br />Last Dryry for <br />Remy <br />(a1 <br />Unpaid Balance <br />of Assessment <br />(fi <br />1040 <br />1040 <br />1040 <br />********\******************a*,tit****** <br />12/31/2020 <br />12/31/2020 <br />12/31/2020 <br />XXX-XX-0433 <br />XXX-XX-0433 <br />XXX-XX-0433 <br />04/15/2021 <br />06/07/2021 <br />01/03/2022 <br />t******************** <br />05/15/2031 <br />07/07/2031 <br />02/02/2032 <br />29650.69 <br />.**************** <br />Place of Filing <br />Register of Deeds <br />Nail POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 29650.69 <br />CHICAGO, IL <br />This notice was prepared and signed at , on this, <br />the 18th day of December , 2024 <br />Signature <br />ad.:_ a, a-7f <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) (Rev. 10.2000) <br />Part 1 - RECORDING OFFICE CAT. NO 600261 <br />