HomeMy WebLinkAbout2770 fOnn 66H OEPI1i~~.~ENi OF iFrt TRE/W!Y-NTEMAI ~EVENUE SEMCE For Ophond U~! ey Recordng OR~ita
~~v i-~os CERT~ICAiE OF RElEAfE OF EEDBtAI TAX L~N f1LE0 4r+C RECOR~EO
DISTRI SERIA~t~NUMBER ~ SL qQCERC?0 TRAS ~
- ~ ~~~1~ CIERK Cii1CU1T COtllIT
1 hereby cert~Fy that os ro the foilowing-named to~cpoyer the requiremenh of Section ECQRO YERIf1E0~~
6325(a), internai Revenue Coae, have been sotisfied with respect to the taxes enu-
muated below, together with all statutory additio~s provided by Section 6321; ond a 19 A~ a~ ~
that 1he I~en for such toxes ond sic~utory oddilions has thereby been ~eleased. The 7
proper ofi'icer in the office where notice of inte~nal revenue tax lien wos 61ed on
;~n;r.~T:~ar , 19~_, is hereby outFori2ed to niake nototion
on h~s books to show the reteose of soid lien, insofar as the hen relates to the follow-
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ing toxes. ; .
NAME OF 1AXPAYER ~ ~ ~ C. '~[L~
RES~~NCE ~ ~ ~ 6~
~et Tl~~, TLrl~-~Its~i
UNPAID BAIANCE
KIND OF TAX T/U( PERIOD ENDEU ASSESSMENT DATE iDENTIFYING NUMBER OF ASSESSMENT
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