HomeMy WebLinkAbout1952 Form G68 DEfAATMENT ~F i11E TRE~V1Q1f-~lTERrt/t` REVEtvUE SE~YICE , ~ For
;~EV. ~~~e; CERT~IUTE Of RELEASE Of fEDERAt tAX UEN
JiSTRICT SERIAL NI~MBER E~~ R ~
216758 d196 P492 • ~ ~i~~~~ ~
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i hereby certify that os 1o the foilowing-named taxpayet the requirements of Section
6325(a), internal Revenue Code, ha+e been satisfied with respect to the taxes enu- PM
merated b~low, logether with all statutory odditions provided by $ection 6321; and
that the iien for such taxes and statutory additions hos thereby been releaserl. The
proper of~cer in the office whe~e notice of internal ~evenue tox lien was fsled 2,~3~
' _ ~ , 19~~., is hereby outhorized to dioke nototio~
on h+s books to show ihe releose of said lien, insofar as the iien relotes to the follow-
i~g toxes.
NAME OF TAXPAYER ~s j. ~~f
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RESIDENCE ~ ~
l~ar~ !l~e~~ lrl~ei~-~,~il
` uNPa~ e~?ur~cE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT OATE IDENTIFlfING NUMBER OF ASSESSMENT
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9~1 6-~0-?'1 l-~-~1 Sl~-13A~tl~l~ 1,1~•3~
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~ PLACE OF FIIING
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~ WITNES$ my hand af Jacko nville, Florida , on this,
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~ rhe 28th ~r of Maae~bet , ~ q 72
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~ SIG E T1TLE
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~ Cbief . Special Pr~cedutes Staf i
~ (iVOT : erfi e of officer ized by law to fa4e acknowledgmenh is not asentiol ro the validity of Notice of Fede~ol Tox Lien G.C.M.
~ /2M19, C . 950-51, 125.)
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- - / PART 3-To be us~d for recordirg purpos~s
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