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Fo~n~ 668 U. S. TREASURY DEPA.:T?AENT INTERNA~ REVENUE SERVtCE Fw Or~~o.bi u.. Ar R.~wd~~yOn+~.
tREV. &67) CERTINtATE Of RELEASE OF FE~ERAL TAX LIEN
f~LiD af~_• f.EC0it0
DISTRICT SERIAI NO. . ST_~~~jL
CLE~~ C.t ,;,UI7AAS
1 hereby certi y t o os o e ollowing-named taxpoyer the requirements of Section Pfrf,r~ y f,-. ~ J COURT
6325(0), Internol Revenue Code, hove been sotisfied with ~espect to tl~e toxss enu-
merated bslow, together with all statutwy odditions provided by Sectio~ 6321; ond ~ f 3 iZ
thot the (ien for such toxes and 3totutwy additions has thereby been releosed. The 23 PM ~7(~ ~
prope? efficer in the ofFice where notic• of interno) revenue tax lien was filsd on ~.(Ov~
Jaaran 16 , 19_~, is hereby outhorized to make nototion
on his books to show the release of soid lien, insofor os the lien relotes to the
foliowing raxes. ~s~~~
NAME OF TAXPAYER
RESIDENCE ~ ~ ~
?t~Ct. A ~LlO
CLASS OF TAX UNPAID BALANCE
(Tox Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(01 (b ) (c ) (d ) (e )
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~ ioio u-u-n s,~-» s~s-is-oys~ ~s.is
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~ ~s is sas ~ raa ~ns ar ca~~a zaof oms
~ ~s. ~s ~ sao~ omc~s ~a~ssa . a s.
~ " 2tl, l~fi 1~C YO~i L~l~ Cq'~!, .
~ Z+0 OIR'~ ~i4i ~t, 1l~, TO l~ • t97~.
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~ PLACE OF FILING
C1ask. Cis+a~ic Ca~ct 9B9.tS
~ ~ TOTAL S ~
~ teet Pi~t+el, T1~atLda
F" WITNESS my hand at Ja~ks~rille. PLn~ri~ , on this,
!ne 11 day of 2LrCb ,19 7;.
xr'9
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~ SIGNATURE TITLE
Jaak Duraat Chie~, Sp~eial Psoc~dures Stitf
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~r (NOTE: Certificote oi o~ficer ou~horited by law to toke ackeowledgmenrs is not essentiol to the validitr of Notict of Fedtro) Tox L~en G.CJiA.
~wu 26119, c.s. ivso-si. ~zs.~ 224 PAGEC;Ut1J
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PART 4--To b~ retained by SPS r~
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