HomeMy WebLinkAbout2623 ~v
s FOfRI~ SbH ~ OfP~TMENT Of ME ~REI15U~-JNiERNAI RfVEt:tJE SERVECE fOr Opt~Wql Use 8Y Rlcot~ng ~K!
~~v ~•~o~ CERTIFIUTE aF REtEASE Of FEDERAL TAX LIEN Ep ~?~0 aE
~~usc~c cou F
DISTRICT SERIAL NUMBER ~O~Ep ~0{1RRS
242084 B208 P 773 ~~EaK c~hcU1T COU~T
I hereby certify thot as to the followi~g-named toxpayer the requirements of $ection *f~4R7 Yf.PlflEO.~""~
6325(a~, Internal Revenue Code, have been safisfied with respect to the toxes enu- ~ Ac ~u 1~~
meroted below, together with oll statutory odditions provided by Section 6321; and W
ttwt the lien for such taxes and statutory oddifions hos the~eby been released. The
o ~p fFicet in t ffice where notice qf internol revenue tox lien wos filed on
~~1~lovember~~, , ~9 ~L , is hcreby authorized to Moke notation
on his books ro show the releose of said lien, insofar as the lien relates to the follow-
ing taxes.
NMAE OF TAXPAYER ~1~ i Q~ ~SS
RESIDENCE ~j, ~i
~ nlMl~
UNP/UD BAUNCE
i KIND OF UX TAX PERiOD ENDED ASSESSh~ENT DATE IDENTIFYING NUINBHt OF /~'iESSMEM
t ca~ ro~ k~ a~
~ io4o sa.~,.rl s-a9~-7: s9er-~3-79~
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PLJICE OF FlUNG
= C:e.~~ ~isc;.•~t Ccxxt = ~~.5=
St. l~zc e C:c:snly TOTAL S'
~ Fast F~c:rCe, t't,r:r'e
:e~
-`a ~ wITNESS mr hand or Jacksonvil2e Florida , on th~s,
~ the 26th daY of April , 19 ~4
~~nRr ~l arc ~~i
- SIGNATURE ~ ' TtTIE
~ . C~ Z d lZ ~ ~
_ Jack nt , Special Procedures Staff
- ~ ~ ~ ~ ~ Chief
~
~f~~ (N Cer ~cole of off•cer c~utho~~ze~c by ~aw ~o !,Re ackr.owie~~~r.n~ts no? esrnnol to the va~+d,ttr of Nohte of federol Tox Lien G.C.M.
26Q19~195~-51, i25.) kb
' PART 3-To be used for recording purposes
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