HomeMy WebLinkAbout0484 .
~
Fdfrt1 GGS ~ OEPARTAAENT OF THE 1REAatA~Y-NTEWAL REYENUE SERVKE For Opfanol Uf! By Reoo?d~rg OM~ce
~r~v 1-~0~ CERTIRUTE OF RELEASE OF ~EDBGL TAX LIEN f1~E0 AND !tEC~1R0E0
DISTRICT SERIAL NUMBER ST-lU6iE GOuN31i f~A.
263312 B218 P1378 Roc~~ ro~T+1AS ~
CLERK L~~CU~~ COURT ~
I hereby certify that os to ~he following-named taxpayer the requirements of Section p=rRR~ 1`fR~FIED
6325(a), Internal Revenue Code, hove been sotisfied with respect to the taxes enu-
merated below, together with all statutory additions provided by Section 6321; ond ~I ~J Z Z6 PN
that the lien for such taxes and statutory additions has thereby been released. The
r offi inf off'ice where notice mterno! revenue tax lien was filed on
~~epteA~er 1~, , ~ 9~, is hereby authorized to make notation 26s955
on his boolcs to show the releose of soid lien, insofar as the lien relates to the follow-
ing toxes. -
NAME OF TAXPAYER -
RESIDENCE
31~~~Z
; T! !L 33~3Q
~ UNPAID BALANCE
~ KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~ (a1 tbl lc) (d) lel
e ~
~ 9kl 03~3i•73 O~•i1~T3 3+l~~22+~ l~,b~0.+~1
r
~ 9~it1 1Z~1~ Ot3dla'! ' • " lt.3t
_
~
~ ~
s
w
~
~
~
~
~
~
~
U
ti~
F;
~ ~
; PIACE OF FIUNG
C~~rk, Cir~K Cou~! TOTAL S
St. l t,c~a Coucity i,Sia.73
~ort Pierca, Fbrids
.
Jacksonville, Florida
WITNESS my hand ot , on this,
~e 19th da afOctober 19 73
~ s ~c220 ~a~~ 48~ ~
= y .
~x.
i+
Ex SIGNATURE TITLE
a
Jack Dutant ti+ Chief, Special Procedures Staff
~ (NOTE: Cert~cate of offic a hor zed by law fo take ocknowledgments is not essential to the validily of Notice oF Federd Tox lien G.C.M.
- 26419, C.B. 1950-S1, 1
cC
~R
~ PART 3-To b~ used for recording purposes
'.(:7
~