HomeMy WebLinkAbout1017 . _ ~~i
t Form 6b8 ~ U S TREASI,+tY DEPl~2TMEN' - iNiFw~ql ~~•.ENUE 9E~'.~,~,..~ ~s„ , I
~ ~~REV. NO'~. 1961) ~ CERTIFICATE OF RELEASE OF FED~RAL TAX LIEN ~ i
i (Formerly form 669) ~ ITo be uted fo Release Ta¦ tiens under Section 63251a1, f.R.C. of 19541
~ OISTRICT ~ SERIAL NUMBER
~,p~~ ox Book 125, page 315- - # 138308
I hereby certify that as to the following-named taxpayer the requirements af Sect~ion fi325ta1, inte.?nal
Revenue Code of 1954, have been satisfied with respect to fhe taxes enumerated below, together with
~ all statutory additions provided by Section 6321; and that the lien for su~h taxes and statutory additions '
` has thereby been released. he prop r offic~r in the office where notice of internal revenue tax lien ~
~ was filed on _ _ A~ 2~~ , 19 ~5 is hereby authorized to make notation on his books to show !
~ the release of s~aid lien, insofar as the lien relates to the following taxes._~ vY 4
~ NAME Of TAXPAYER I
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RESIDENCE OR PLACE OF BUSINE55
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TYPE GF TAX AND PERIOD ASSESSMEN7 DATE RfFEREtvCE NO. AMOl1NT Of I
~ ~ ASSESSME~ii
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~ FILEDr , 111C~~ ~~~'•~t~ED , .~i.~ ~ . I
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'65 ~E~ 6 i r i0 : I 8 ~
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~ ROG~f~i~-"' CLERK ~ ~
ST CI~ CODUTY, ; '
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PLACE OF FIIING _ - - - -
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WITNESS rny hond at~ _ Jackscnvill~_Florida on this,
the_ 2_4 _~.d~y of--------2~ovember 14_ ~5
DISTR!CT CIRECTOR ~F INTERNAL REVENUE i BY ~S:gnoture~ -J TITIE ~
H. S. Schmidt ~ ~ + Chief~ Speci.al
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~ ~'roc, Sec~.ion
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(~lOTE: Certif~cate of off~cer outhorized by low to toke ocknowl g nts is not essentiol to the volidity of this dac~~ment. G.C.M. 20419, C. . 19501~125.1
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