HomeMy WebLinkAbout2373 . .-T~_ . . _ ~ = ' " . . . . , . . _i_ ~ . ~_t_~1_~' . ~ _ ' ,
. U. s' TREASURY OEPARTMENT - ~NrEer~t eevEHilE SFwitE
IREV. NOV. 1961~ CERTIFICATE ~ RELEASE OF FEDERpI. TAX IIEN 1~Q~
(Forme~ly Fwm 669~ ITe b~ ~~ed N Rtkas~ Tau LiMS w~de~ SttN~n 63251e1, I.R.t. e/ 1YS11
~ISiRICT SERIAL NUMBER
I hereby cefify tFwt as to the following-named taxpoyer ihe requirements of Section 6325ta1, Internal
Revenue Code- of 1954, have been satisfied with respect to th~ taxes enumerated below, together with
all statutory additions provided by Section 6321; and that the lien fo~ such taxes and stututory additions
has thereby been released. The propef p.fficer in. the office where notioe of internal revenue tax lien
was filed on , 19_, 4~hereby authorized to make notation on his books to show
the release of said lien, insofar as the lien relates to the following taxes.
tdMtiE OF TAXPAYER : . _ .
i~r t• Mds M~• s. l~i~i. • i~~l~ri ~1ri~
a~o~ oR ~u?cE oF eus~~ss "
~ _
1YPE OF- TAX MID PERIOD ASSESSMH~R DATE R~ERENCE NO. AMOUM OF
b) , . Ib) k) I?SSESSA+?EtdT
Idl
~ ~ ~
I
~ ~ ~
~ ~ ~
.
Cia '
~
r ~ ~ f
c^'v mcm
~AQ
~ C' ~
. ;o :v' 0 A Zv
CO ~ ~
-i ~ ~ ~ ~n
O N ~
CN m~ ~
~
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-1 ~ ~~O
Pu?cf~rrG~ ~s
~ ~ TOTAL = ~
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WITNESS my Fwnd at Jacksonville~ Fla.
, on this,
~ 21st day of Feb. . 19 67 . -
- - BooK164 ~?~2~369
asraia aaECroa of ~~Rwa ~ eY - TinF -
Chiet, Special Procedures
R. H. Hash, Jr. (ACt3ng) Sect3on
(NOTE+ tob is nof taseMiol b th~ wlidity of this r~::;%:' ~1, t 25a
i M~~a
~ART - o b~ ~s~d for nconling purpos~s j~f
- - ~ . y ~ ~
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