HomeMy WebLinkAbout1905 ' - - - - - . ~ ~
~ F«n, 6sa oa,~nr~ oF n+E ~w~r-~ ~vsru~ s~ er
~~v• ~ao~ CQTliGiE Of RBEASE Of ~DBtAI TAX U8i sr. tuc c cou+iir fi~
asrtgCt s~lAl NUMSet ~oc~ ; ~orrz~s
CLE4K ~;:<~L'iT ~aURT
~717s DZls pls7'1 prra _
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t hereby certify Ihaf as to +he fdbwing-namsd taxpayer fhe roquiramenh of Seciion
6325(a), IMernol Revenue Code, have been sotisfisd wiih rosped ro ths taocas enu- ~9 D
me~ated beloM?, +ogether with a~~ stotut«y «lditioos provided b~? section 632, j and ~ H'73
thot 1he lieo for wd~ toxes and statu~ory odd'fions has tF~ereby been roleosed. The
prop~ o~iu~ in ihs oA'ios whers notice of intsrnd tevenue tax lieo was filed on ~C~/~~
Juaa ZO , i~~_. is herob~? outhorized ro ~twlce nototion
' on his books ro show ihs release of said lien, insofar as the lien relates to the fdlow- ~rv
ing tmcel. ~
NMAE OF TAXH~?Y6t - .
RESIDENCE
~+~Q
tAJPAID BAIANCE
KiND OF TAX TAX PERlOD END~ A~SSESSAAENT DATE IDBVTIFlfING NUMBBt OF ASSESSMENT
~ (al (~1 kl ~dl
~
i ` 94t ttl. 03%~~?Z ~+~~3 ~l~B i ~~3Q.84
~
~
Pu?cE oF ~un~c ~
G~~ ~ TOTAL Z ~a34
~ S#~, t+t~tSl? t~o~
~
~ WITNESS my hond at Jackaonville. Florida , on th~s,
~ pR ~
~ ~ecr+~
~
~ ~1e 2nd ~y of llova~bar , 19T3
~ SIGNATURE TtTIE
~
Jack D !~E Chief S aial Procedures Staff
(NdTE: ificote of officer outhor~zed by law to take ocknowledgmentz is no1 essenhal lo the validity of Notice of Federol Tox Lien G.C.M.
~ 26A19. •B. 1950-51, 125.)
~Y PART 3-To be used for recording purposes CC
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