HomeMy WebLinkAbout1378 - - - _ _ . w. ~ _
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~g o~urr~r ~ t?~ n~wsunr-~a~r+~i ~v~ ~ Fa. op~1 us. h R.cn?dFna o~o.
~rt~ tao) C~T~ICAIE Of_ Of EEORAL TAX tIN! " i~ A~0 ti
, ~ ~ , f p4~
D~STRlCT~ ' S~U1l NUMBHt 6~~ ~~+RCUIT CO~~T ~
1 hereby oertify tha~ os to ihs fdbwing-nomsd ta~ay~ H?e roquirements of Section !t[lSe~Q vc~IFt~~ ~
6325(a), (ntemal itevenus Code, have be~+ sufisfied v~nth respect to the tmces aw- ~
~Q~~,,~,~~,o,~~,,~:~~?~,~~~;~ ~ 18 ~ ~~P~! ~3
that the lien for wch tozes and statubry cdditions has theraby been roloased. The _
proper o~ in the oA'ioe where nofios of internal revenue rox iien was filed on
• is aulhorized ro make nototion
on his books to show ths release of soid 1'ien, inso ar as ~en r
ing taxes.
NAME OF TAXP~AY6t '
~ ~ ~ Y ~~Z~t
RESIDENCE •
sou s..r~.. ~ct.~
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUM68t OF ASSESSMENT
ca~ ro~ t~~ cd~ ~ cer
>O~A ~l•~3~•M AM~lO~~Tl 7'iSwOs
*
i .
i
I
(
I
f
t
f
i
I
i ~
f
' PUCE OF FlLING
TOTAL = i~j~I•~
~ St. l.taCif CO~N~/
:
_ -
FaA Pierr.a, Florkla - -
WITNES$ m~l 1?o?K~ of .Tac~{ccnnvi 1 1 p_ Flpri Aa , On }his,
~
~ the 3~th doy of A~~»~t , 19 7~
~
= SIGNATURE T1TlE
' ~I~~~ .~G!/Ld
(NO : of oflicer ized b~r low ro toke acknowledgments is not ~sniid io the voG~r of Wofice of FedRd 7mc Lien G.G.A~
2 9, , i950-51, iZS.j ~ CK
" PART 3-To ~ ~ a~x218 ~A~f~13 ~7