HomeMy WebLinkAbout0411 _ _ _ : ~ _ . ~ U ,
u. 5. TReASUkY oWl?rtTMe~rt . wre eEVe+t1E sEevKE Fr orrb.d w. b e.errw o~no.
~ ~~v. 4: CERTIFlCATE Of RELFJISE OE FEDERAL TAX UEN ri~eo
ana~a ' . s~ ,,,~,~„e~ sT. a~
~
~~ira?a
~ - ~ CLERK CIRCUIT COURT
~ECORD YERIfiED
' f I hersbp csrtiiy that as w N~s followtng•namsd toxpayK th~ nqutremenb of Ssdion 6325(a),
~ Intsraol Reverws C.ods, have been soHsfied with res'sct b ths tmcss er~xrarated b~low. top~fhK I oZ PM _
with oll swNtory additions providsd by Ssction 6321~ ond that ths lien for wd~ taxea and
_ stotutory additlom_hm. thecehy _been._released. iha_ptoper_officec ln 1M offloe whero notfos of _ 2 ? -
~ intxnal rov~nus taoc lien wos filed o~ ~ay 15 , 19 - Is Faaby ~~O
; o~»ho.i:ed ro mok. naanon on his books ro show tM rsleas~ of sold Ua~, infofar as th~ li~n
robros to ths foliowing taxss.
~ NAME OF TAXPAYBt
R651DBJCE OR PIJU'F Of bUSIPESS
; 0~2 ~/~Lt >A~~ t'~' DR~3_ 11.~_ t~~A
CIJ?SS OF T/1X UNPAID dAtM1CE
(Tax Rewm Form No.l PER100 BJDED ASSeSSMBJf QATE IDH~InFY1NG PRJM66t OF ASSBSMB~(f
~ b~ ro~ ~a i~ ~a
;
~
1~040 2~8•~1.65 ~-p•~' ~76~•~~A..9~y? 3i.96
~
~
i
F
{
~
~
~
~ •
~
~
~
x
~
~
S
~
~
~ ~A~ ~
~ r~T~u = ~•9i6
- ~ lli~. ~M
z
~ Jacksonville, Florida on thls,
WITNES.S my hand at
the 23rd ~ayof Aupust 19~~
.
~ '
oisra~cr o~~ortoF i~ ~E ~ sY
~L~~~~~ Chief, Special
Procedures Staff
~ A. J. ~'Donnell, 8r.
(NOTE~ Grttficaf~ of o#ksr aothorized by low to taks sdpm~nb b not ~stenHal to ths witdiry oF ibis doa~ne~k. (i.GM. 26419. C.B.
~950.~, ,zs., ~ ~ ~18
PART 3--To b~ us~d for ncording pur~ws~s60 K PACE ~~.~,~W
: . '
_
~~a _ ~ _