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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2208000263-1 Pages: 1 <br />Debtor Name: ALEX ACEVEDO <br />Filing Date and Time: 08/05/2022 11:23 AM <br />202205819 <br />Form 668 (Z) <br />1020001 <br />17628 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Lien Unit Phone: (000) 913-6050 <br />Serial Number <br />335126818 <br />For Use by Recording Office <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 December <br />07 <br />2018 , <br />is authorized to note the books to show <br />the release of this lien for <br />these taxes and <br />additions. <br />Name of Taxpayer <br />ALEX ACEVEDO <br />Residence 817 W 16TH ST <br />GRAND ISLAND, NE 68801-3517 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 1812000533-7 201807891 <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 />(a) <br />(b) <br />(c) <br />kV <br />(e) <br />(f) <br />1040 <br />12/31/2007 <br />XXX -XX -5264 <br />10/05/2009 <br />11/04/2019 <br />14883.15 <br />1040 <br />12/31/2011 <br />XXX -XX -5264 <br />05/28/2012 <br />06/27/2022 <br />458.43 <br />1040 <br />12/31/2016 <br />XXX -XX -5264 <br />06/05/2017 <br />07/05/2027 <br />16368.50 <br />********************************************************,**************** <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 31710.08 <br />Grand Island, NE 68802-1692 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />18th day of May 2022. <br />,on this. <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 Cortificato of Release of <br />Federaf Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668 (Z) (Roy. 10.2000) <br />Part 1 . RECORDING OFFICE CAT. NO 600261 <br />