HomeMy WebLinkAbout1047
; ~ i
~ ~orm bbe ; U. S. TREASURY pEr^ARTMENT - ~NTEaN~I ~E~EnfUE SE~v:CE ~ ~ ~
~R~v. Nov. i 9ai CERTIFlCATE OF REtEASE OF FEDERAL TAX LIEN ~
(former{y Foem ~SS) - ITo be ~fed to R~lease Ta¦ liens v~d~r SMion 6325ta1, I.R.C. o( 1954) ~
DISTRICT SERIAL NUMBEft
o. k. Book ,Z 3 126 ~ ~
I hereby certify tt~at as to the following-nsam~d taxpayer the requirerr~ents of Section 6325(al, Internal
Revenue Code of 1954, have been satisfied with respect to the taxes enumerated below, together with
all statutory additions provided by Section 6321; and that the lien for such taxes and stt~tutory additions
nas therei~y been released. 7he proper offieer in tt~e office where notice of internal revenue tax lien
was fiied on June 26_, , 19~4, i~ hereby authorized to make notation on his books to shaw
the reiease of said lien, insofar as the 1i~n relates to the follawing taxes.
NAME Of TAXPAYER
~ir s ~
RESIDENCE OR PCACE OF BUSIt~jESS !
~ ~w~r ~wr! l~+O~i ~
TYPE Of TAX AND ~ERIOD ASSESSMENT DATE ! REfERENCE NO. i ~OUNY Of
(o~ ~ I ASSESSMEtJT
! id1
F - - -
-
~
- . ~ i
~ " . - ~ ~ ~ ~ I
i ( ~ f
~ ~ ~ I
~ ° ~ ~
ttV. j I
j ~ ~
j JU~I ~ ~ 2 ~ ~ ~ I ' ~
~ ~
, . , .i.3~~~ t ~K ~ ' ~
, . ~ t~ ~..o r~ . r,-i.~ ,
~ i
~
~ ~
i ~
~ i ,
~ : ! ~ ~
= i ~ I
; ~ ~
; ;
1 - - ---L-- ~
' IACE Cif FlLiriG
. ~ t~' ~
{ ~ ~ TOTAL ' S I~r~s i
# - ~ _ ~ ~
W17NESS ~ny hn:id at__,__v Jackr~~nville, Flarida _ on this,
3rd.
the -------.day of- - June _f, 19 65
DISTRIC7 dIRECTOP. O~ !NTERNAL f2EVENUE ~Y j5ignature) ~ ~ Tf7lE ~
i Chiet
F. S. Schmidt ~ r~ .~,~~t~ Special Pro~edures Sectio?i
IhU7E: Ce~tificate of off~er authorized by iow tc tuke cc edgment: is not essenti~l to the validity of this ~t. 2b419, C.F~)~r1, 125.)
b~i PART 3- To be used far recording purposes d~ ~~*J