HomeMy WebLinkAbout2695 ~ '~ti . _.~Y~~~~_. ~ . . _ . .
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214194 ~ ~
form 6e8 ~E?~tTMENT oF Tt~ nfwSUer-ritEWAt tEVENUE SEevKE fa Op~awf Usc Ay Recwdne 01Rce
~~v. ~-~01 CERTIRUTE Of RELEAfE Of fED~AI TAX UEN
. DISTRlCT SERIAL NUMB '
Ja~ic~mrill~, !L. 209379 H~~l, P 1577 F1~o ~?NU aEC~e~~~
iT.lYC1E COYM l
~ 1 herebr cernfy rhor as ro ?he follow~ng-named roxporer the requ~remenrs of Sec?ion lIOCEi1 P04T4A:
6325~a), Internol Revenue Code, have been sotisf'~ed with respect to the taxa enu- C~ERR CIRCUiT COtl~
meroted below, together with all statutory odditions provided by Sectio~ 6321; ond RECORO VERIfiE~
. _ that the lien for such taxes ond stotutory additions has thereby been releosed. The ~ 4S
proper of~'icer in the ol~ice where notice of internoi reveaue rox lien was 61ed on
; _ , 19 , is hereby authorized to rriake nototion
on h~s books b show she releose of said lien, insofo~ as the lien relates to the follow-
ing toxes_
NAME OF T/1XPAYER
~b~rt J. ic iL L. ~qLr
RESIDENCE
To? ~y ~3~5 st. .
ti. ~3~e+r, TL. 33~?9a
, UNPAID BALANCE
KIND OF TAX TAX PERIOD 'cNDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~I lal ro1 kl td1 l~l
~
I
Lo~ u-31-6d 1z-i~-~ mill~-s~-1ri1~T l,i~•~o
PIACE OF FIUNG
C~it ~t
s~ TOTAI S
N.. ~ w~ww~ T~,i.
v~nThfSS my ho~d nr W. ~'$lm Beach, Fla. , on rh~s,
rhe 17~ day oF Aug~i3L , 19_71_ _
~GrsaTl2k - TITLE
. '
, i z Group Superviaor
-
ItiCjT[ {~t~f,,,~tr c,f ~;ff,~~y •J~•hc,r~~~•1 b~ :,,.~r ~o tn.e c;tlrv~wlr•1~inentt n nvl e~.senhoJ t.~ Ihe v~~Ld~ty of Nuh~e ui Fe.ferol ia• l+eo GC.M
~ "[~~i-1, 8 1'ISG i1, 1"1: ~ O Q
PART 3-To b~ us~d for rocordinq purposes ~
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