HomeMy WebLinkAbout2502 Form bb8 DEPAkTMENT OF TNE TitEA9URY-NTEWAL QEvENUE SERYICE fo. Oprivrwl Use Br Rawd~ng OlFcr
~~v. ~-?o~ tERT~iGTE OF REIEASE OF FEDBtAI TAX UEN
DiSTR1CT SERIAL NUMBEK •
Jaitae~dll~ 258492 B-216 P-499 ~
1 hereby cert~fy thot os to the foliowing-named taxpoyer thc requirements of Section ~
6325~aj, Inte~na) Revenue Code, have been satisfied with respect to the taxes enu-
meroted below, together with all statutory addifions provided by Section 6321; and
that the lien for such taxes and stotutory odditions has the~eby been releas4d. The - PR 3~ 9. N~ qm'7•j
proper officer in the office where notite of intcrnal revenue tax lie~ was filed on i
i« ~ lOth , 19~~, is heroby authorized to Make notation p
on h;s books to show the release of wid lien, insofar as the lien relates to the follow- 2C7Q8`~3
ing taxes. .
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tdMAE OF UXPAYER Ji~~ H~'t Qa+ . ~ , . . : _ •
.1 H O~lq ttlaElit~ , . _ -
~s~~t~CE ~s ~w,e~ !
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; UNP/UD BALANCE
~ KIND OF TAX UX PERlOD fNDED ASSESSAAENT DATE IDENTIFYING NUMBBt OF ASSESSMEPIT
~ (o) k) (d) (•1
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~ 9~1 9~-3~-71 6-~-7~ 99~1~0~9'19S
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" RACE OF flUNG
{ C1er~. Csres,it Ct~tM TOT/?L s~.~$I
St Luc~s C.cw.-~ty .
- ~4rt f~"t8~L9. ~lOrtdB
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_ Jacksonville, Florida
'1lITNE55 my hand ot , on this,
25th ~y of April , 19 ~4
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- :;~N E TITLE
`.Y' l t<' d" ~ ! t t Z!>z
~Durant I Chief, Special Procedures Staff
- _--=~3C~TE. Cert~ficcte of of~~e~ -~:;t".G'~ZF`O by !ew to !cRe ac4r.o~iee;}ments ~s not esse~t~r.l to tFx voi~d~ty of No1:ce of federol Tox l~er G.C.M.
2Sa~9. C B_ i95J-S1, i25 ~
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r't' ~r5~ j~ PART 3-To be used for recording purposes Pb
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