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202501226 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2503000486-2 Pages: I <br />Debtor Name: GORDON P BLAKE <br />Filing Date and Time: 03/11/2025 09:18 AM <br />Form 668 (2) <br />(NC 104000) <br />18366 <br />'Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area; 1 Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA 06 I <br />Lien Unit Phone: t800) 913-6050 433010121 <br />certify that the following -named taxpayer, under the requirements of section 6325 <br />of the Internal Revers* Code has: satisfledthe taxes 9stea•belOw and ali'statutory; <br />additions. Therefore, the lien provided by Code section 6321:for:Mese taxes and. • <br />additions has been released. The proper officer in the office where the notice of <br />internal revenue tax lien was flled,on; ; July 01 ..:.• <br />2021 , Is authorized to note the books to show the release of this lien for <br />these.taxes and additions. <br />00164 Name of Taxpayer GORDON P &• ROSEMARY SLAKE <br />• <br />For Use by Recording Office <br />Residence 2455 LAMAR AVE'' <br />GRAND ISLAND, NE 68803-6233 <br />COURT RECORDING INFORNATLOtta <br />Llbar Pape UGC No. Serial No. <br />n1/a n/a 2#0.xetl9I05r1 202106633 <br />' • Kind of Tax <br />(a) <br />:.•Tax Period <br />.Ended' <br />01) <br />identifying Num., ber <br />.' . ;'Date of • <br />Assesment <br />(d) <br />t.ast Day for <br />'Rattling . . <br />. . (el <br />ry , <br />,Unpaid Balance <br />• ; of Aaseaement <br />1040 <br />1040 <br />1840 <br />12/31✓.2117 ' XXX XX-0433 17/23/2118 ; 08/22/2128 <br />• <br />12/31/2118 XXX-XX-0433 ' •' •11/18/2019 '12/11d/2129'• <br />12/31/2019 XXX-XX-1433 04/19/2021 05/19/2031 <br />a eatiOg89is> eaa*aa* aaaa as a a s*aa <br />,t <br />• <br />187.,25 <br />7419./0 <br />28027.93 <br />asismaaaaaaa <br />Place of Flttnsg • <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total <br />35629.38 <br />This notice was prepared and signed at <br />the 24th lay of <br />CHICAGO, IL <br />January 2025 <br />, on this, <br />Tide <br />Operations Manager, <br />Centralized Lien Operation <br />OTE: CerBr te•of oWef aut io,izad by ken to taw aokrloa4sdgamonts M not.Kerdai Io ha veirdtycf Corttlicalsol Rakwa or Faderri Tax U.r <br />Rat. Rol. 71-460, 1971 •2 O.B. 408 , Pam 668 (Rev. t 04000 <br />Part 2 - Taxpayer s Copy <br />CAT. NO 800281 <br />