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12/1/2021 3:28:55 PM
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12/1/2021 3:28:55 PM
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202110198
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NE Sec of State - Robert B. Eynon <br />Filing Document #: 2112000013-2 Pages:'! <br />Debtor Name: F SANCHEZ <br />Filing Date and Time: 12/01/2021 09:08 AM <br />242.110198 <br />Form 668 (Z) <br />(Roy. 102000) <br />1654 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />Serial Number <br />For Use by Recording Office <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (800) 913-6050 <br />334785818 <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 <br />on December 06 <br />2018 <br />, is authorized to note <br />the books to show the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />F SANCHEZ E. A GONZALES-BRIZUELA <br />Residence1920 W 10TH ST <br />GRAND ISLAND, NE 68803-3703 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 1812000330-2 201807869 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refiling <br />of Assessment <br />(e) <br />(b) <br />(c) <br />(d) <br />(e) <br />(f) <br />1040 <br />12/31/2011 <br />XXX -XX -9713 <br />05/23/2016 <br />06/22/2026 <br />722.25 <br />1040 <br />12/31/2014 <br />XXX -XX -9713 <br />10/03/2016 <br />11/02/2026 <br />669.29 <br />1040 <br />12/31/2015 <br />XXX -XX -9713 <br />07/02/2018 <br />08/01/2028 <br />10488.53 <br />1040 <br />12/31/2016 <br />XXX -XX -9713 <br />07/02/2018 <br />08/01/2028 <br />7716.21 <br />*********************************'e**********,r************v*****,r*********,r <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 19596.28 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the <br />20th day of October 2021 <br />Signature <br />CHICAGO, IL <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />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. Rul. 71-466, 1971 2 C.B. 409) Form 668 (Z) IRev. 10-2000) <br />Part i - RECORDING OFFICE CAT. NO 600261 <br />
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