HomeMy WebLinkAbout0227 - Forrts 668 OEPNtTMfNT Of iHE TRE~~URY-NTEiQ~t4t REV[NUE SEQYICE L F.v Ck~f~,nl U~s Br Remrdno O~ce
~R~v. ~-ro~ CERT~IUTE OF RELEASE Of fEDERAI FAX llEN ~1~ i~p
D'STRICT $ERIAL NUMBER R~ Q~ ~
, . a~~R~ ~+~a~i aou~t
I hereby certify tfiat as to the folbwing-named taxpayer the requirements of Section ~d~ D Y~~~/I 0
6325(a), Internal Revenue Code, have been wtisfied with respect !o the taxes enu- ~a
meroted below, togeiher with alt stoiufory additions provided by Secfion 6321; and f
that the lien for such toxes and st~tutory addifiions has thereby been released. The .
proper of~icer in the office where notice of internal revenue tax iien wos filed on ~
prr~,h.~r 7 , 19~1, is hereby authorized to r~ake notation
on his books to show the release of said lien, inwfar os the I~e~ reiotes to the foilow- -
ing taxes.
NAME OF TAXPAYER J~. C.
. BESIDENCE ~ti., -
~ as. 3, ~.ic 5L0, o~~
T+~rt Tl+nw~ T3~l+d~-j~
UNPAID BALMlCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTtFYtNG NUMBER OF ASSESSMENT
la1 l~i kl Id1 ki
` 30~t1 12-31-7+~ 5-]~-T~ pS7-5~5k13 ~•p5
~
~
i
!
~ -
F
~y
k
~
i~Y,
F
~
f
~
#
~
~
~
C_
~
` PLACE OF FILING
~ C3~c, ltls~uit Oo~si "
' $t,. I.~~ C,O~ii~ iOTAI S Z~~
~r. ~+~'Of, ~t • ~ ~
y.
WITNESS my hond af Tnrlrannvi ~ ~ a~ F1 OI~dB , on this,
=:5
~ tfie ~.Lh_day of .T_ anuar~, 19 73
~
SlGNAT T1TLE
-
Chief S cial Procedures Staff
~
TE: t cate of of1'Ker uthorized by iaw ro taice ocknowledgmenh is not asential to the volidity of Notice of federol Tax lie~ G.C.M.
r'~ 26~1 B. 1950-S1, 125.
~ ' 2~.0 ~ ~ 88
i PART 3-To be used for ?ecordin~ purposes
~
,
- " ~ _ _ ;
r~..~ r ~ _ . . : ,
Y.~~ .i3.~zii