HomeMy WebLinkAbout1766 ~ .
~g oEr~ur,~r+r oF n~ n~wa~n-a~ ro? o~~ww~ u,. sr R.oor~~q o1Fc.
~REV, 1=70) C~T~u~ ~ ~ ~ T~ ~ ~~~~~~y~l)1 ~i~.
DISTRICT NV~~ R PWTR~
? ?.?K ~LE~ 61~<'.311? OMMT
i hereby ce~nfy fha? as ro rhe follow~n9-~wmed ro~ayK the rec~u~reme~,n of Secrion ~ i~3~Fi~.~....~.
6325(0), Internal tteve~ue Code, have bee~ sotisRed wi?h respect to the taxes enu• ~
merated below, together with al) statutory additions providad by Section 6321; a~d ~ 1 ~
thot the lien for such roxes and statutory addfiora has thereby been ~eleosed. The
o{~~ fhe olfice where no ' f internol revenue tax lien wos filed on
~~~ust 3~, , l~, n hereby authorized to make notation
on his books ro show the release of said lien, insofar as the lien relates to the folbw• .
ing faxes.
NAME OF TAXPAYER
~w~
~~s~QE~ 0~ l~e iyt
lret ~irtM~ ~'~cii~ ~
uNPao Bn~cE
KIND OF TAX TAX PEI~OU ENDED ASSESSMENT DATE IDENTIFlfING NUMBER OF ASSESSMENT
; (a1 rol (~l ldl lel
~
i
i l~ ZtMA~ l~I.i?! Oi•11~+7~ Mi !O tL1~ /
€
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~ Pu~cE oF fiur~c
~ ~.Q~~ TOTAL s j~~
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WiTNESS my hond at .Ir.^.•:~o~7v~11~~ r orir'a , on this,
y~P ~~z. ~r of ~e-_+.-'s^'!:~2' 197~ ~ R_~~
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S~~;NATI~tE TITLE
:'r. .:ur~:r:. :.hio~ ci~:l ~'ro~edures ~~,aff
(NOTE: Cert~f'icaA~ of offKer au?horixed by luw to take «knowl~menrs is nd eueMiol Io tM vdid'Ay of No1iu of F~d Tmc li~n G.C.M.
~6419, C.B. 1950-51, 125.) S5
PART 3-To b~ us~d /o~ ncordiep purpos~s
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