Loading...
HomeMy WebLinkAbout2188 , . - ~ - - - , - - - ~.~:t : - , . i . . • . - t• : - . . - - - _ - . _ - . ~ „ . - - _ . _ _ - Fer~ 66d U. S. TitEAStJRY DEPARTMENT -~x•~RNa~ RE~ t sE awCE ~ r F« OiN•~••~ us. es R««d.~ Orr~c• tREV. &671 CERTIiiCATE Of RELEASE OF FEDERAI'TAX ttEN ~ ~ ` 9 A p' DI57RICT ` SERIAI N0. lgg~l fi. ~ CI~CO ~ _ RECORO V 1~IF1~ " ( 1 h~r~by c~~~ify tl~a~ os to tM followin9•ram~•toxpoy~r tha ~~quiremsnts of S~c~ion 6345(01, lettrnel Rev~nw tode, hov~ b~~n sotis~i~d with ~espect to tl~e rox~s enY- • ~ m~cattd ~Icw, toy~ther with oll stotutary oddifia+s provid~d by Section 6321; and p~ 1 ~ tlw~ t6~.lie~ for such rox~s ood stotvtory oddlHons hos thereby be~n r~l~ostd. Tb~ , r!,!~ O~ ~ prop~r offiu~ in th~ offi • wh~n notic~ oF in»mo) rwenus tox ii~n wos f:i~d on ` ~Q~ ° Februarv 1~ 19?~ ;s h...by au~hw~:sd to .ak. noat~en ~ ( on his books to thow th~ r~lsos• of soid li~n, i~sofor os t!K li~n r~lotss to tM RoGER Po1TRa8 ~ followinf-tox~s. LERK ~`4!lCU1T C0~ NAI~AE OF TAXPAYER _ ( ~Q~ ~ RESI~ENCE _ ' ~ ~M LA~~ lL~M~ - CI.ASS OF TAX UNPAID SALANCE (Tax R~turn Fwm No.) PERIOD ENDE~ ASSESSMENT DATE IDENTIFYING NUMBER OF A55=SSliAENT ~ (o) (b) k) (d) i~) ! ~ ' . ` i ~ ~ ~ ~S ~ I I i , ~ i i i ~ ~ f i ~ i ~ , ~ ~ _ _ PlA f _~~r~'~____ _ ' ~ TOTAL S ~ ~ ti. tl+~aM~ ~ j . j ' WfTNESS my hand ot Tacksanvillp~ Flor da - ~~+~s,~ ~ the~dey of March ,19 30 SIGNATUR£ TITLE r- nt Chi f S cial °rocedures Section MOTE: C~rtificet~ o( of(i theris~d by low to tok~ ock~ewl~dqn~sets is not ~ss~ntiol to tM roli~itq et Notie~ d F~dNel T~ L~ K C.CJrI. 26/19, C.B. 19SOS1, 125.) Vh ~ a~ 8s PART 3-To b~ us~d for ritordin~ ptirpos~s , _ _ - - - - - - ~ ~ ~ ~ ~ ~ .,~„~r~~.~ g'c i - . . ' ~ _ ~ ~ ~ ~ ' - ~~~:n'~~~~~`'tns~w{_"~za`~_~~.... . ' '-r _