Loading...
HomeMy WebLinkAbout0399 - ~ - _ - _ - - ~ . . . . _ _ . . ~ _ : ~ ` j F«m 668 oEr~r~Nr oF n+t -~+rEe+~u eevexlE seence ro. op~~o~w1 v,. y R.oadnp ol6oe ~REN. 1-70) CQ1iICATE Of ~BEASE OF ~O~AI tAX L~i - a~D~~~~ ~ DISTRIGT SERW. NUMBER . / ~ - - - lili~ 20 $ Bltlt~ ~l ~ $ - Rs~ ~ ~r iol ; ~i ~~O ~ i herebr artify that os a the fdbwing-nomad ta~oyer tM roqwransMs of Seclion ~ 632~aj, Ir~nol Reva~?ue Code, have bea~ saiisf'~sd with respecf to the tmces i~w- S ~ mereted below. +e9elher with all stadulQry ad~ilio~s provided b~? Ssction 6321; a~d - .1 t, that the lien for wd~ roxes o~d stafutory add'itions _hos tl~eby bse~. roleosed• ihs ~ p~o~ ofl'xer in ths oR'~oe whete nofice of inlernal ro~vawe fmc 1'~sn was f~ed on ~~1 : ! I~Iov~~b9~ 2 a , 19.3Q~.,is F~enbY auMw~ir.ed fo ~oke notation ~ on ha boob ro slww N,e release of scid lien, imofor as 1hs lien rolales b the follow- ing toxes. - ~ NMAE OF UXPAYER ~L~~~, i M ~ ; Rf51DENCE ~ ~ ~1 ~i~ ~ ~i~ ~ ~ UNP/VD BALANCE ~ KIND OF TAX UX PEWOO ENDED ASSESSAAEM D/1TE IDEM1FlfING NINMBER OF ASSESSMENT ~ Ia1 tb1 kl td) {~l ; j ~ ' !ii f-~-~ . i~Ci•~ , ~ i f 6 ~ 1 ' ~ l , ~ ; ~ ~ , ; PucE oF Aur~c q,~~ Qst~wL1 fwes ~ ~ O~ TOTAL s ~ ~ ~+~Ma ~t~ - ~ 1MTNESS my hond at Jacksoaville, Florida , o~ ~~s. the _31~_dar of April , 19 ~l SIGNATURE TtTLE ' ~ R 1~2 ~NOTE: Certificde of o ized by law ro tak «knowledgmenls is not eueMial to Nie volidil~r of Notict oF f+d~rd Tox tien G.CJrI 26I19. C.B. 1950-51, 25. 88 PART 3-To b~ us~d for ncordin~ pv~pos~s ~ x:~ 7 : - Y ~ _ ~ "'=~~~~~~s :s: . ' -