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202203141) <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2204001507-3 Pages: 1 <br />Debtor Name: DAMARIS LOPEZ SALAZAR <br />Filing Date and Time: 04/28/2022 09:47 AM <br />- <br />Form 668 (Z) <br />{Rev. tazo00l <br />17505 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 />339186718 <br />For Use by Recording,Office <br />• <br />. <br />I certify that the <br />of the internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2018 <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 December 27 • <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />DAMARIS LOPEZ SALAZAR <br />Residence 612 WEST AVE <br />GRAND ISLAND, NE 68803-4249 <br />- COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />.n/a n/a 1812001600-5, 201808291 <br />(and of Tax. <br />fa) <br />Tax Period <br />Ending <br />lb) <br />Identifying Number <br />fat '. <br />Date of <br />Assessment <br />NI <br />Last Day for <br />Refiling <br />fe) <br />Unpaid Balance <br />of Assessment <br />ff1 <br />1040 <br />1040 <br />****.*****************************'e***********************t************pit*** <br />12/31/2015 <br />12/31/2016 <br />XXX -XX -6737 <br />XXX -XX -6737 <br />08/12/2017 <br />04/24/2017 <br />09/11/2027 <br />05/24/2027 <br />• <br />11601.26 <br />1872.36 <br />• <br />• <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 13473.62 <br />This notice was prepared and signed at CHICAGO, IL <br />on this, <br />the <br />16th day of March , 2022 , <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation. <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 Ren Rev, Hui. 71466, 1971 - 2 C.B. 409) Farm 668 (Z) (Rev. 10-2000) <br />Part 1 - RECORDING OFFICE CAT, NO 600261 <br />