HomeMy WebLinkAbout2072 F ~.;68 DEPARTMENT Of iHE TREASURY-NTERN111 REVENIE SEQVICE For Op~~orwi Uu 9r Reco?dng OMce
~rt~v. i-~o~ CHT~IUTE Of REtEASE OF FEDERAI TAX L~f! 0~~~~
D~STRICT • SERIAL NUMBER ~
~j~ 224285 B-199 P-2585 ~~~~1t~f
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hereby ce~ify rhat as ro the tollow~ng-rwmed ~axpayer ~he requ~remenn of Section
6325(c), Internal Reveoue Code, Fwve been sotisfied with respect to the taxes eou-
meroted below, together with oll stotutory additions p~ovided by Section 6321; and 8~~
tfiat the lien for s twces and statutory addi6ons hos thereby been released. The ~
proper ofF'icer i office where notice c~f internol revenue tax lien was filed on
Febtuary ~ rd , 19 ~Z , is hereby authorized to make ootation
on his books to show the release of said lien, i~uofar as the lie~ relates to the follow- ~
ing taxes.
NAME OF TAXPAYBt
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RESIDENCE
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i 11iw ~~MA~ ~`i~ri/+t ~lf~0 ~
uNPa~ ~?NCE
E KIND OF TAX TAX PERIOD ENDED ASSESSAAENT DATE IDENTIFYING NUMB6t OF ASSESSMENT
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PLACE OF FILIIVG
- C~el[~ C~s~ruta0w~e! TO~rAL = 2~
st. j.~. aw¦e:
` Jacksomille, Florida on rh~s,
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F WITNESS mv hand at .
the 15th day of Nerch ~ 9 72
,
= S!GNATURE TITLE
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Jack Du Chief~ Special Procedure~ Staff
(NOTE Cer?~f e of of~cer outhcrred by law to toke ocknowledgments ~s not essent~ol fo the valid~ty of Notice of Federol Tax lien G.C.M.
26419, C.B. 950-51, ~~s.~ g;,FK~Q PACE~~1
PART 3-To be used for recording purposes
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