HomeMy WebLinkAbout0424 - - - . - - - - - - • - - - - - , - - - - f . -
. . . ~ ,
Fom 668 cEnua,~~ oF n+~ n~wsuer-iitdr~x ~vpruE s~ qo~o~d u,. 4 R«o~~ O~o.
(REV. 1-70) t~~ ~ ~ ~~QU t~ ~ ~r
DIST SERIAI Nt1MBER • Q
~'a 20 81~8 p ~ \
I hnreby cafifjr thot os ro the fdbwing-rwmed toxpoyet fhe ~equiremen1s of Seciioo
6325(0~. Inhxnal Reveo~e Code, hove bsan solisfind witF+ respect to ths toxes e~w- ~ t~ t~ 1.
mero?ed below. Mgethar with olt statvtory add~itions provided-by Section 6321; and ! ~
, Nwt M~a (ien for wch taxes ond stotu~ory oddi~ions has thereb~r been released. The :57
proper o~ in ths office wf~ere notice of intsinol ~evenus tax fien was filed on
November2j~ , 19~.Q. is heroby ouMwrized to diaice ~ototion
on Fus books ro slaw the rdease of said lien, insofar as the lien rslaMs b the foUow- .
~n~ tdces-
N/1ME OF T/1XPy1YHt ~
~~Sr~~~~~~
r~aoEt~cE -
!~el~ ]~il~ ~f~+Mt
lre~ T~l~is
IAdPND BALANCE
~ qt~ OF TAX TAX PERIOD ENOED ASSESSIIAENT OATE tDEMIFYING NUMBER OF ASSESSMEIYT
(~1 lbl kl ~ (d1 lel
3~ li~-~! ~-5•'~ ! ~,pO~N
~
~
f _
I
~
FLACE OF FlUNG ~s~t, O~/ ~
TOTAL s ~~M
~ ~1
WITNESS my hand af .ja~kannv._ l le ~ Ft nrida , on tfiis,
the day of J.:n~ , 19~1
S~GNATURf 71t1E
`J M I.o~is ~ ~ "
~NOTE: Catrficate of o Ka ovtl~o~~zed by law to ~oke «knowtedameoh ~s no~ essqTt6~ ~t~ol~d~ of h e~ federd Tox l~en G C M
" 26l19. C.B. !950-51, l25.) 1! SS
~ PART 3-To b~ us~d for ncordin~ p~nposfs
a- - _