HomeMy WebLinkAbout1164 ~ . ~ _ _ ' a _ . = ' " ' ' _ ' . ; -
~t_ . ~.a__~ ~
~ ~
per,,, ~e U. S. TREASURY ~EPAftT T="t1ftER1[Al REVENUE SEJiVKE' Fa Oor~o~ol us. Br R.cwd~
~ (REV. &67) CERTIFICATE Of REIEASE Of FEDERAI TAX UEN
! DISTRICT " SERIAI NO. lT9l66 ~~LE AND RECORD~D~'
~ ~ CIE COUNTY,- LA~°
I hsreby c~rtify thot as to the followin9-nom~d ioxpoysr th• r~quire~nts of S~ctiai R CORL~ VFRIFIEO
6325(a1, Int~rnol Rev~nw Code, Fwve be~n soti~(ied "with r~spect to th~ toz~s eou= ~~Q~L+O
ms~oted b~lew, together with all stotutory additions provided by S~ctioo 6321; and O V
' thot the lie~ for such toxes ond stotutay additions hos thereby be~n r~leos~~~h~~ q' w 2 i~'
p?op~r otficer ia the offic~ whsr~ notice of internol ravenue tox li~n wos (i oe L r~~
~tt ~ , 19_~~`is h~reby ovthwi:~d to nake nototion
0o his books to show the r~lease of said lien. insofor os the lien r~ktes to th~
foilowiny'foxes. Ti GER ~ ITRAS
NAME OF TAXPAYER CI,.E CIRCUIT COURT;
~.0~ 1lA~Or ~ ~de0t~l5i~ I~. `
~
RESIDENCE , - p
!~i ~wt~ Lt ~~s~ry l~lprt tL~e~~ ~Lelr~~ k
~ CLASS OF TAX ~ UNPAID BALANCE
~ (Tax R~turn Fwm No.) PERIOD ENDED ASSESSMENT ~ATE IDENTIFYING NUMBER OF ASSESSMENT
(a ) (b) (c ) (d ) ~e) ;
~
~
~ ~ ~
E
~ -
i
E
~ . . . . _ . . . - - - _ . . . . - ~
Q
~ ' ~
a
~
~
PLACE OF FILING
~ ~ ~
~ TOTAL S ~~~~3
~ ,
~
WITNESS my hand at s~~~~~ , on this,
the_..1~thday o4 ~,o~. ,19 7Q.
~
SIGNATURE TITLE
J aiat, l~eial tr~~:N i~ctiw ~ ;
(NOTE: C~? icot~ o( of(ic~r ou~hori:~d by la. ~o tuk~ aekno..l~dya~enrs is not tsse~tiol to tF
e~vSlidirrvof~eYc FidKOt o: Li~n G.C.AI. ~
~ f }
~ ~6119, C.B. 195d51. 1ZS.) `~P 600lt~~~ ~1~~
~ PART 4--Te b~ r~toin~d bY SPS
~
. ; ~ ~ ~ = : ~
:
~ ~t~
~
~ .