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NE Sec of State - Roben B. Evnen <br />Filing Document #: 2109000016-5 Pages: 1 <br />Debtor Name: JUAN R SANTOS ALVARADO <br />Filing Date and Time: 09/01/2021 10:00 AM <br />20210750/ <br />Form 668 (Z) <br />tRe .10.2000) <br />17489 Department of the Treasury Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />890925612 <br />For Use by Recording Office <br />certify that the following -named taxpayer, under the requirements of section 6325 (al <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 _ -_ September 12 <br />2012 , is authorized to note the books to show the release of this hen for <br />................................................ <br />these taxes and additions. <br />Name of Taxpayer <br />JUAN R SANTOS ALVARADO <br />Residence421 E 6TH ST 2 <br />GRAND ISLAND, NE 68801-4556 <br />Liber <br />n/a <br />COURT RECORDING INFORMATION: <br />Page UCC No. Serial No. <br />n/a 12699178 0'')201207628 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />Ib/ <br />Identifying Number <br />(e) <br />Date of <br />Assessment <br />Id) <br />Last Darr for <br />Refiling <br />(e) <br />Unpaid Balance <br />of Asseument <br />Ifi <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />1040 <br />1.2/31/2004 <br />12/31/2005 <br />12/31/2006 <br />12/31/2007 <br />12/31/2008 <br />12/31/2009 <br />12/31/2009 <br />************* <br />XXX -XX -8067 <br />XXX -XX -8067 <br />XXX -XX -8067 <br />XXX -XX -8067 <br />XXX -XX -8067 <br />XXX -XX -8067 <br />XXX -XX -8067 <br />************ <br />03/21/2011 <br />05/02/2011 <br />05/02/2011 <br />05/02/2011 <br />05/02/2011 <br />04/15/2010 <br />07/25/2011 <br />*********** <br />04/20/2021 4433.25 <br />06/01/2021 2656.75 <br />06/01/2021 2895.11 <br />06/01/2021 2832.23 <br />06/01/2021 2838.59 <br />05/15/2020 <br />08/24/2021 3546.84 <br />***********<**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br />Total $ <br />19202.77 <br />This notice was prepared and signed at <br />the <br />Signature <br />30th day of May <br />2021, <br />CHICAGO, IL <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />, on this, <br />(NOTE: Certificate el 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) <br />Part 1 - RECORDING OFFICE <br />Form 668 (Z) (Rev. 10-2000) <br />CAT. NO 600261 <br />