HomeMy WebLinkAbout0228 Form 66B OEPA1tTMENT Of 1liE TtEAWRY-NTEIRVAI tEVENUE SERVlCf Fo? Opr~o~w1 U,. Br Rao.dng O~c.
~aEV i-~o) CERTINUtE OF REIEASE OF F~D9Gl TAX LlEN # p
C~~STRICT . S~RIAI NUMBER D~T A~~~
242~ . ~~a41~p Y A~~~e 4011AT
1 hereby certify that as to the following-named taxparer the requirements of Section •~..ww..
6325(a), Internal Revenue Code, have bcen satisfied with respect to the roxes enu- ~~I ,13
merated below, togetfier with all stotutory additions provided by Sec6on 6321; and
thot the tien for such taxes and stotutory odditions hos thereby been released. The
proper ol~icer in the office whe~e notice of internal revenue tox lien wos 61ed on ~
¦ove~~6er 21, 19~2. +s hereby authorized to rriake notolion
on his books to show the releose of said 1"ien, i~ofar as the lien relotes to the follow-
ing tmces.
NAME OF UIXPAYER ~ - 2~5~~
a.~.t,~ a ~aa.t ~t~ttsns
~s+oEr~cE ~ l ~s T2s
~t. lt~+r. n.eL~ ~i~
UNPAID BALANCE
; KIND OF UX TAX PERIOO ENDEO /~SSESS~AENT DATE IDENTIFYING NUAABHt OF ASSESSMENT
i lal ro1 k1 WI k1
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~ 10~0 1=/3~/!1 ~/!!/Tl ~K~-~M ~ 1sI!l.~4
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9 •
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K RACE OF HUNG
` G.''erk. C~rcu+t ~ct~
= SL l,t~N ~Outtty TOTAL s 1~.u
" Fott Ptert~. Ftot~do ~
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w17NESS my hand ar Jacksonvill~. llorida " , on rh~s,
"s the 9th doy of ~~~[a~_, '1~
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S;G TURE TITLE
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^ OTE: ertificote oF offcer autho:~zed by low to to4e ectnowled~ments is not essenl~ol to Ihe voGd~.ty of Notice of federof Tox tien G.C.M.
: 264 , C.B. 1950-51, 125.) ~~~^~O ~ ~
PART 3-To be used Eor recording purposes ~
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