HomeMy WebLinkAbout2584 ~ Form 668 DEP/1RT.NCM OF h1E TIEISU4Y 'avr;Rwt ttFVEhtte sEtmCE fo. Opno~+a~ Use 8y RerYd,~, C:~ce
(REY. 1-7Q) tQ~~ ~ ~ ~~1~~ V~
Q~~]f SERfAI NUMBER f'
`~"ii7~ 2093T9 H192 P1ST7 ~AC
! he~eby tertify thot os to the following-named toxpoyer ti~e reguirer.~ents of Section . J
; 6325(a~. Internal Revenue Caie, have been sotisfied with respect to the taxes enu-
nterated below, together with oll statutory vdditions provided by Section 6321; and
ttwt the lien for such taxes ond statutory addihom hos there~y beeo released. The 2j~,~/GV~
proper ol~'ice+r in ihe ofRce where noticq, f inlernol revenue tax lien was filed on
N~ 1~~ , 19 r4 , is hereby authorized io Make nototion
on his books to siww the release of said lien, insofar os the iien relvtes to the folbw-
ing taxes.
NAME OF TAX~IIYER
J i ~ L lxZL~R
~ ~ .
;
~ UNPAIO BI1tANCE
t KIND OF TAX TAX PEWOD ENDED ASSESSMENT DATE IDEP(TfFYING NUMBER OF J155ES.SAAENT
; la1 ro) k) Id) (el
1~10 li•~ 2sr04•.~0 9 Sl,~3a.~0
E
s
~
PUCE Of HIING
Q~~ ~ ~
~ . TOTAL ;
1!. Rlt~i'
~ tL
WITNESS my hond ot _~,a 4Qnnvil lra F't eri~n , on 1his,
~1e 26th ~y of February 19 ?2
,
~ ~a~i99 ~
SIGNATURE ~iTLE
Dur Chief, ~ecial Procedures Staff
~ _ erh6cote oF o(fica ovthorued by bw b tase ocknowledgrnents ;s ~of esser,hd b the vol~d~ry of tJosiu of Fed~rd Tmc l~en G.~.M.
19, C.B. 1950-St, 1~5.)
Ss
PART 3-To b~ us~d for rccw~d'in~ purpos~s