Loading...
HomeMy WebLinkAbout2335 ~ __7'~ . . . . . . _ . . - . - . . _ . . - • ~ . : ' ' . . ~ , • ' • _ . . . Form 668 . oEr~r«~wt vF nsE nEwwt+r-a~aE~W ~vEnue Fo. Opioe~d us. er R.cn.d~~y (REV. 1•7Q) C~T~CwTE ~ R~EASE O~ ~AL TAX 1~ DISTRICT SERIAL NUINBER j AE ~R~~1~lCW~~ 20 2 CORO YEiUfIEO ~~w~~ I hereby cartify thct as io 1he fdbwinQ~namd ?axpa~rer tM ro4ui~~me~ts of Seclio~ 6325(a~. Inlernol Revenue Cod~, have bssn ~aii~'i~d with rospec~ 1o th~ toxes ~w- meroted babvir. MgMher vrith all sMtu~ory additions provided by Snctioe 6321; and ~ thot tM liae for :uch toxes ond stotubry od~iAions hos ~ebp been nlw~d. The proper officar in ths a(fice whsr~ notia of ~xnol hv~nue tax lien was Rled on iik~ve~her 2A_ , 19~Q_. is her~b~r outF~orized to aid~~ nototio+~ on his books b show the rdease of wid lien, insofat as the lien reloros ro ths follow- •~/1~~y~ ing foxes. IfrV / r,nME oF v?x~?Yet i. ~ RESIDENCE tsQ• ~ ~j - ~jMMr ~Ll~~~ UNPAIO BAL/1NCE , qND OF UX UX PERIOD ENO~ ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT ; lol rol kl (dl rol ~ ~ ~ ~ f ~ ~ ~ ~ ~ ~ S ~ ~ ~ • ~ ~ - ~ ~ X PIJ?CE OF HUNG ~',;~f, Q~~ ~ ~ TOTAI ; n~ ril~M~ tL• ;3 ~ ~ WITNESS mr har?d ot Jacksanville, Florida , o~ r~~s, ~ ~ ~ ~e l.lith ~r of AP~1 , 19 71 fa ~ SIGNATURE TITLE a~; ~i` Jack Durant Chief Svecial Procedures Staff (NOTE~ C,ert~cote of ou br taw to toke ocknowledgme~rs ~s oa esser~nol ro ~he vol~d~ o i FedKd K~+ G_~.M. ~z 26419. C.B. 1950-31, b~~~ .;~x PART 3-To b~ us~d for ncordin~ PuTos~s O~ (Q, ~ 3~~ _ ~z ~ ~ _ ~ ~s~: _.L . . . , _ . . _ _ : _ ~ ~W y __~y ~