HomeMy WebLinkAbout0820 Fwm 608 DEPARiM1ENT OF TME T2~ASURY-MEYr'nl REvF~.'E SEMCE For Op?iono! Us! 9Y RKnrdng OfFic!
,~tv 't•~c~ CERT~IUIE OF RELEASE OF fED8tR7 TAX UEN ~ N RECOROE~
s . wc~E couNTr F«.
Ui~TRiCT ~~w SERIAL NUMBER CLE KCCR~CUIT C URT~~
1 hereby ceriify that as to the following-named toxpayer 1he requirements o f $ e c
t
i on RECOR~ VfF.!iiEO~ ~
6325(a~, Internal Revenue Code, have b~en satisfied with respect to r?,~ rax~ 3 IO 38 AH ~~1
meroted below, together with all sfolutory odditions.provided by Section 6321; and
thot the lien for such taxes and statutory odditions has thereby been released. The
~.xoper 4(ficer ' the pPFce where notice mternal revenue tax lien was filed on ry
_ ~sC~! bi , 19 is hereby authorized to rriake notation `
on his books to show the release of soid lien, insofar as the lien relates to the folbw-
ing toxes.
NAME OF TiRXPr1YER
Mut wYlq ~~w
RESIDENCE
a~+o ~t .
Per~ Ti+rt'+e~ T3~rirda
UNP/UD BAIANCE
KIND OF TAX TAX PERIOO ENDEO ASSESSMENT DATE IDEMIFlfING NUMBER OF ASSESSMENT
(ol (bl k1 (d1 t~l
91~i 3-3~-To Lo-~9~-7i 59-uT3TU i=,T9b~36
i 94i 9-3o-To . ~o-s~-ri 59~~t~ i,o63.30
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~ ~tACE OF fILING
C1~ic~ Clrouil Cwnrt
~ ~ ~ 1OTAl S j~~j7•~ ~
_ l~r~ P~~~+o~~ l3~o~irdt ,
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~ wI7NES5 my hand at Ju~c~nville ~ Florida , on this,
~ Bo~ 203 ~~E 8i9
~
~ r~,~ 7th ~r of June , 19 72
~
~ S~GNA E -
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~ mt Cblsf S cial Yrocsdute• Staff
~ ~NOT _ err~ca~e of ot~ce? ourhoraed by law ~o rake «knowled9meots is no~ ase~tiol to ~he vaGdiy of Notice of federol Tax lien G.C.M.
: 9, C.B. 1950-51, 125.)
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~ PART 3-To b~ us~d for ncorinp purpos~s
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