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HomeMy WebLinkAbout2319 _ _ . _ ~ ' . . _ _ . . - . . . ~t. . - s-..a' - . " . . . ~ ' ~ F . . . - ~3`~`-~ - I Foro 66a U S TREASURY OEPARTNENT - ~wTERNA~' aEvENUE SERVtCE Fw pa•,o,wl Uae Br Rec«d~.y OH~ce i caev. ae» CERTIfiCATE Of RELEASE Oi FfDERAI TAX lIEN flL,EO AN~ ; DIS'FRlCT ' SERUL NO. ~T. tIC1E ~ 19y552 8-186 P-1660 ~ ~f~~~ ~ 1 hereb c~~tif thot as to the (ollowin nom~ lo~ C`R~ T ~ y y g• poyer the r~Quutm~nts of S~ttioa ~~pllp YEIII~ 6325(0), Int~rnal Rw~nus Cod~, hove b~~n sottftFi~d witb rtsptct to tl~e toa~s enu- • i meto»d b~lc++, toy~th~r wifh oll stotuto~y od~itions provided.~y S~ction 63~1; ond ~Z~ ~,~~~T~ ¢ thet th~ lien /or such toxes ond stotutwy additipns hos th~~ebr b~en r~l~osed. The t ~ prop~r oFiic~r in the office +~h~r~ not~ce Qf ilif~rnol revenw tox li~n wos fil~d on ~ ~LqtiSt 24th , 19 7u - fs 1Kr~by authofi:ed to wake nototion 203'744 t, o~ his books to show the rel~ose of soid (iee, insofar as tlN (i~n r~btes to tM ~ ~ folloMr in9. tox~s. p~ ~ NAME OF TAXPAYER ~ ~ ~ ~~i~ ~ . RESIOENCE - ; ; i~. 1~, ~c ~ ~ ll~~? !'~IM~3~ ~ ' C1.A55 OF TAX _ ' UNPAID BALANCE i (To: R~tvrn Form No.) PERIOD ENOED ASSESSMENT DATE IdENTIFYING NUMBER OF ASSESSMENT ~ ~a ) lb) lc ) ~d ) (e) ' ` ~ 3~~ ~ . ,I i . i€ ! ~ , - ~ ~ ~ ~ ~ ' . ~ i ~ ; PLACE OF FILING ~ ~ ?OTAL E ~ ~ ~ ~ . ~ ~ ~ . ~ wITNESS my hand at Jackaonville, Flori~a , a, ~;s,. i ~ ~ ~ t}„ 30th o f Dsce~ber .,19 70 ~ ~ SIGNATURE T1TlE ~ ~ , ~ ~ Jack _ _ MOTE: CMii(ieat~ o( e1 ~r rFwi:•d br lo.. ~o tok• eck~o,.l•dy~..ns 7s net ~ss~nt~ol to tl» .el~d~~r Ha~e• e1 f•Ie.el T.a L~~n. G.CJiI. ~ ~19, C.e. 19S~S1. 1 ~ART 3--To b~ us~d for r~tordin~ purpos~s sk ° , ~ ~ ~ ~ ~3-~. ~ ~ ~ ~ - -