HomeMy WebLinkAbout0179 ' ~
~ . . _ - , . . -
_ .~lit~ J
_ - - -
po~m ~g ' ~U. S. TREASURY DEPARTMENT -:Nrt:•.AL ~EYEN;;E SE4`:1~: l Fo. Oor.;,.~a~ Usc By R«o.d.~q O!i•ce
:~ev. a-~>> CERTIfICATE Of RELEASE OF jEDERAk ~AX UEN r
DISTRICT ' SERIAL NO. ` ` i~~~UC1E CO~MTY~~
Ja~ic~oa~~i],~~. !'Iori~a 198072 B186 P2464 ROC£R PO1TRAs
I hereb; cert~fy thot os to the following•nomsd taxpoyer the reQu~rements of Sect~on CIERK CIRCUIT COURT
6325(u), Interno) Reve~ue Code, havt been sotisfied w~th respecr to the toxes cnu- RECORII YE~~FIED.~~.~...~+
meroted bel~x, togather with oll stotutory additions prov~ded by Section E321; and pY
thot the lien for such toxes ond stotutay additians hos thereby been relecsed. Tt.e
proper officer in the office where notice inter~ol revenue tax lien was f:led 235~95
$eptemlfe! ~i~ , 19 is hereby cwhorized to moke notoNon
on his books to show the releose of soid (ien, inso(ar os ~he lien relotes to the
following roxes.
NAME OF TAXPAYER C~~ ~ ~
RESIDENCE
it~ j1 ~
~aL"~. tSQ'O~~ ~OT~~~~
CLASS OF TAX ' . UNPAID BALANCE
ITa: Return Form No.) PERIOD ENDED ASSESSMENT DATE ID~ ~-TIFYING NUMBER OF ASS:SSMENT
(a) fb) ic) (d)
i
' ~ 7~+~~ ~7 ~
f _
~
~
,
~ /
~ PLACE OF FILING CL~~ CSZ~~tr GO:'~
~ .~r~ I~S+~ CO~~ TOTAL S ~j~~~
T:
n.~M~ t3i•
~ -
~ _ - .
~ w .Tacksonville Florida
ITNE55 my hond at on this,
~ the 8th dQy of AuguBt ,19 ~2 _ '
~
" SIGNAT
. - ~ t tin Chief S cial Procedures Staff
~ ' TE Ce.rf icote ot o(f~cer orised by law to take ocknowiedym_ms ~s ~~o~ esse~r~~l to ~he vot~d~ty o~ Notice oF Federol Toz L. rr G_CJ+1.
~ Z6419, C.B. 195051, 125.) ~
~ @ ~ ~
~s PART ~To be used for reco~ding purposes e~~~ ~
- - - -
~~4 ma - ` • ~ ~
_ .~w , ~