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I F«n? 668 oEt~er~Ht ~oc n+E ra~wer-~t?FnvK eEV[++uF sE~ncE 4A?pnol Racq. OAk.
f ~~v t•~ot C~T~ilATE OF RFIEASE OF EERRAI TAX l~N ii. . ~~ru t F~A.
~ DtSTRIGT SERU1l N1~::8ER Wa~~~
~ ~y~,i 20390~ B~R9 pt553 Rt~e
i 1 hereby certify thot os to tho fdbwing-named toxpaya the requiremenls of Section .
~ 6325(a), Int~ernnl Rsve~ue Cod~, hove bee~ ectisfied w~th ~espect to the taxes aw- ~ e ~~~~'f `
~ meroted bdow, ?oyether with all stotutory addiiiau prov+ded by Section 6321; and
thot the lien for suci~ inxes end statutory additions hos thereby been released. The
! proper oH'icer in the o}F'ice where notics of intrrnal reve~ue tax lien wos Rled on
; nnn w~ , IS ~y. OuthOriiEd fo dla{ce nOtoti0lf 211~r?'4
on his books to show the re{ease of soid lien, iruofior as the lien relates to the follow- ~
~ '"g t°xes'
, NAME OF UXF1AY0t ~ ! ~ !~s ~
~ RESIDEPICE S ~ :
~ ~t pl.~n., ~~.-~D -
~
~ UMPAID BILLANCE
~ IUND OF TiU( TAX PERIOD ENDE~ ASSESSMENT DATE IDENTIFlfING NUMBER OF ASSE~~AAENT
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~ R ~ 5-~-7r ~i~ir-~-~ iil.i~i
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PV?CE OF NUNG ~1~ _ _ :
~ j~'~+~ as~ TOU1l = ,
~ - T!~ rL¦~w~ ~'L. .
~ a 3acksor~ville, Florida - , o~ ihis,
the _1~ dop of t~~ ~ . 19 71
SIGNI?TIJRE , ~E -
.lar_Y_ L'~ ~ ' r : ~ d S~a
(N~TE: CariuaN of au iud bp law to wk~ b ~s not ~wdal b th~ vd~d~r of Plo~~u d f~d Ta. li~n G.C.M
Z6119, ~_i. 1950-S1, 125. 39
?ART ~-Te b~ vs~d /o~ nca'di~Y PwN~~