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NE Sec of State - Robert B. Evnen 2 0 2 5 0 3 O 4 <br />Filing Document #: 2506000258-8 Pages: 1 <br />Debtor Name: TOMS DELIVERY SERVICE INC A CORPORA <br />Filing Date and Time: 06/06/2025 10:27 AM <br />Form 668 (Z) <br />Mev. 10-20001 <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 />389618719 <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 />2019 <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 19 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />TOMS DELIVERY SERVICE INC, a Corporation <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 1911000969-8 201907302 <br />Kind of Tax <br />(al <br />Tax Period <br />Ending <br />lb) <br />identifying Number <br />lc) <br />Date of <br />Assessment <br />(dV <br />Last Day for <br />Ref <br />la1 <br />Unpaid Balance <br />of Assessment <br />(0 <br />1120 <br />941 <br />*********************************v*********************** <br />12/31/2018 <br />06/30/2019 <br />XX-XXX6303 <br />XX-XXX6303 <br />10/07/2019 <br />09/30/2019 <br />11/06/2029 <br />10/30/2029 <br />400.00 <br />22960.40 <br />,**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 23360.40 <br />This notice was prepared and signed at CHTCAGO, IL , on this, <br />the 23rd day of April , 2025 <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />(NOTE: Certificate of officer authorized by law to take ackrowiadgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul, 71-486, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10.2000) <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />