HomeMy WebLinkAbout1196 - - ~ . _ . _ . _ - . ~ . _ - _ ~ -
~ . ` ' ' . ~
Fam 668 oEr~,~Nr oF n+e reE~r-~rwu ~v~uE s~evrcF rw oP?io~wl u,. er aeco.ang
~a~v ~-~o~ CHT~UIE OF REIEASE Of ~ED~AL TAX t~i =~ivciE N
pISTRICT SERW. NUMBER !lOOER PO~MA:
?_011 18 Bl P~ ?_0 4lER1FC~RCYtT ~.M~
I hereby cefify that as to the folbwing-oamed tcxpo~ the requirements of Section RECORO YERIFIEO
6325(a~, Internol Itevenue Cade, hove been satisfied with respect to the taxes enu- ~ t •
marated below. togetlier with all statutory additions provided by Section 6321; and '
~ thot the lien for such tnxes and stotutory addilions has thereby been releoscd. The
proper ofF'itet in the of!'ice where notice of internol rewe~ue tax lien wos filed on
, F r~hrnafiy 11 ~ , 19~1, is heroby autfiorized to diake notation
on his books ro show the releose of said lieo, insofar os the lien relutes to the follow-
ing taxes..
NAME OF UXP~IYER s
~ a i i wa. a~.~.
RESIDENCE -
~u
' ~ t~~ ~
li UNPAlD ~!!A~lCE
qND OF TAX T/1X PERIOD ENDEO ASSESSMENT OATE lDENTIF1fING NUMBER OF ASSESSMENT
'I lal (~1 k? Idl le!
~
I
~ ti1 • ~ ~ ~ N~.bi
I
f
~
~
~ ~
~ PIACE OF FIUNG ~
a~~ ~ TOTAL s
~ ~
~ t!~¦1~l. iLlSia
~
~
~ WITNES$ my hond at~TD•,,J~,.,,,..-' l Q: ~ i,,.•= ; , on this,
~
8~
~ the ~ ~a doy ot „`af:us} , 19 ?I _
~
SIGNATURE TITIE
~a a ~ ~r _ „
(NOTE- Certificote of ofhcer our iz I to toke krawtedgments ~s ~or esseot~ol ro rhe vahdity of Notice oi fedaal Tax lien G C.M
26419, C.B. 1950-51, 125.) Ss
PART 3-To bo ustd for ncordin~ purpos~s
_ . _ ~