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Apr. 21. 2017 3:10PM <br />Form 668 (Z) <br />)Rev. 10 -2000) <br />Area: <br />SMALL BUSINESS /SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (80o) 913 -6050 <br />Name of Taxpayer <br />RAFAEL OROZCO <br />RAFAS TACOS <br />Residence2105 NASHVILLE ST <br />GRAND ISLAND, NE 68803 -1539 <br />Liber <br />n/a <br />Kind of Tax <br />(a) <br />940 <br />940 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />941 <br />Page <br />n/a <br />Place of Filing <br />the <br />Signature <br />12832 Department of the Treasury - Internal Revenue Service ,� 78 <br />Certificate of Release of Federal Tax Lien <br />Tax Period <br />Ending <br />fib) <br />12/31/2008 <br />12/31/2009 <br />03/31/2008 <br />06/30/2008 <br />09/30/2008 <br />12/31/2008 <br />03/31/2009 <br />06/30/2009 <br />09/30/2009 <br />12/31/2009 <br />03/31/2010 <br />06/30/2010 <br />09/30/2010 <br />12/31/2010 <br />03/31/2011 <br />This notice was prepared and signed at <br />05th day of April <br />Identifying Number <br />(c) <br />XX- XXX8371 <br />XX-XXX83 71 <br />XX- XXX8371 <br />XX- -XXX83 71 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />XX- XXX8371 <br />* * * * * * * * * * * * *c <br />2017 <br />Serial Number <br />900022112 <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 filed on October 29 <br />2 012 , is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br />COURT RECORDING INFORMATION: <br />UCC No. Serial No. <br />9912701848 -6 201209040 <br />Date of <br />Assessment <br />(d) <br />05/14/2012 <br />05/07/201 <br />05/21/2012 <br />05/21/2012 <br />05/21/2012 <br />05/21/2012 <br />05/14/2012 <br />05/14/2012 <br />05/07/2012 <br />05/07/2012 <br />04/16/2012 <br />04/16/2012 <br />04/16/2012 <br />04/16/2012 <br />04/16/2012 <br />* * * * * * * * ** ** <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802 -1692 <br />For Use by Recording Office <br />E Sea of sirie John U Gale - <br />7 <br />9917790811 — <br />OROZCO RAFAEL <br />Filed: <br />04/21/2017 01 PM <br />Last Day for Unpaid Balance <br />Reflling of Assessment <br />(e) (f) <br />06/13/2022 266,62 <br />06/06/2022 164.61 <br />06/20/2022 2455.20 <br />06/20/2022 2569.72 <br />06/20/2022 2733.08 <br />06/20/2022 2475.07 <br />06/13/2022 2433.16 <br />06/13/2022 2085.52 <br />06/06/2022 2203.b7 <br />06/06/2022 2118.40 <br />05/16/2022 2275.68 <br />05/16/2022 2230.97 <br />05/16/2022 2007.21 <br />05/16/2022 2308.81 <br />05/16/2022 562.68 <br />* ** * * * * * * * * * * * * * ** ** * ** * ** <br />Total $ <br />No. 3854 r. 5/5 <br />Titl <br />Operations Manager, <br />Centralized Lien Operation <br />UCe CRFTL <br />PIA: 1 <br />28889.80 <br />CHICAGO, IL , on this, <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. Au!. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) / n <br />Part 1 - RECORDING OFFICE . T .... [ ��l 1 ! <br />