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HomeMy WebLinkAbout1499 - _ - - - - - - - - Fa•r~ 66R U S T~EASU~Y DE°aRTMEtvT ~r.•f4•tia: ctEvE~t~t StQ::CE j - - :e CERTif{CATE Of RELEASE Of FEDERAI 1AX l1EN , Ct R ro t ~15TRICT ^ SERtaI NO. ~~~T _J~kso~t~iLL~t3±orl~i~__~~q~ 31~6 P2u~~._~ RtO~le R 1 d...~..~~ , ?:ierecv csr~~i~ rh~t ~s ta !he f~lfow~ng-n~med loapoyer ~he requ~rements of Sec~•on ' 63.S;o1, ;ntemo! Reveive Code, ha~e been sot~sf~ed w,tti ~espec+ to ~~+e +ax~s cnu- i meruted be~c.., 'agethe~ o{f sroturory add~tions prov~ded by Secr~o~ 6321; a~d tho~ the lie~. ~or s~ch ro.es ond stntutory additirns ias +he~eby bee~ rs~eased. Th~ ? proper ofF~cez in ~he oif~ce +here not~ce ~f ~nternal rYve~ue rox I~en wos f:led on •~W~~ ~ ` ~e~~AT'hA?' ~=t , 19 ~ is hereb authonied to moke notot~on 7 ~ ~ ~ on his books to show the .eleo:e of so~d (ien, insofa~ os rhe lien relv+es to the 3 follow ing taYes. _ >.AME OF TAXPAYER ~ ~ p RESIDENCE ~ 2bt)j ~~~s ~ - l~st l~e+~~ !'3o~iis-~3~,54 CLASS OF T.4X ~ UNPAID BALANCE Tox Re!~rn Form No.` ~ PERiOD ENOED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT } (o'. !b ) (c ) id } ;e ) 'i 1Wro _ ` 12-j1-6~9 5-8-7'0 266~-L6-6ib5 1e3~4.oj ~ ; J} ; ; - ` ~ s I i I - I ~ ; ~'i ~ ~ ~ : 1 ; i ; ~ ~ , =j j ~ ~ ~ l i I : ~ 3 ` i = - - ------i-- - I ~ aLaCE Of = i L4NG Q~i~ ~S~OOlt ~ - - - - - ' - - - - t 3L~ L~aL C~j T Q 7 A L~ S~~p3 - tti. Pi*sw ~ lla. ~ ~ `t ~ niTNESSmyhond ot ~:,~'<s,,:,.,:~,; ~'.:L~t'w.3..-- on th~s, , : , ~he__s~'- do~ of `,.•-ra•- . 1Q - , _ - - - - - i _ , :s ~ _ - - - _ - S!„NAT T! ~ ~ . t ^ - a ! ^ - „ _ ~a7i~~3i:11.. _ ~ ~ ..,~e'_'r_~:-~._:a~ . rBJ 1 ViLF~ ~NGT~: ~e•r~hra~a o! o•~.ce~ ~.'^n.ae~ :v io.. r~ +,:e ac..o~le..y_e~rs s-.u• estie~•,ot ~o'ne .oi.o,.y p~ ~.ar..e o~ Fed~rol ~o. ~•r~':a.C.IA. ' 10~19, C.P 195P51. ti: 3 - PART 3-To be used for recording purposes - ~