HomeMy WebLinkAbout0421 . . ~ - r+~/~ .t' ~ - - . __.-1__ - -
Y
Form 66s oe?~rtr,~Hr cx n+e nfwsun-a~,t~wu rtEVer,ue s~ Fo. o,P+ ? v~e 9y eKO?a~+y orFc.
tREV. ia» ) tERT/iCATE Of REt~ASE Of fEDdtAI TAX UEN
: DISTpCT ~~V~~ SERIAI NUMBER ~ ~ ~ .
- ~tE~~1:YEA~O~ Ca
,1 hefeby certify that os to the followin0-~arim8d ta~ayer the ~equirements of Settion }i
6325(a , Inte~nal Revenue Code, have been wtisfied with ~espect to the toxes enu- !9 ~ yJ
merat~ below, together with-all statutory odcl'itions provided by Secfion 6321; and ~L ~
thot ths lien for such taxes and statutory additions hos thereby been ~eleased. The ~
ptoper officer in the off'ice where notite of interno! revenue tax lien was filed on ~
~p~ , 19~Q~;is hefeby authorized to rtiioke notation 3~t~^pn
on his books to show the release of said lien, iruofar as the lien relates to the follow- - `-~~~J
ing taxes.
NAME.pF~ AY ~ . '
~
O~sc~1 wte~~s~ .
RESIDE,~~ ~ ~
:~Lt7
~ila~, A. ~'Z
~ UNPAID 3ALANCE
~ KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYINZ3 NUMBER OF ASSESSMENT
tal (b1 k1 Idl (el
' 9~i91 03w3I~-7~ 0'1~?29~-74 !i9~1173~1I ~T.3T
i
~
I 94~ 06~3a?74 4~3~Y74 '~9~-Ii?~11 7~i+~.88
f
~ . -
~
!
f
~
~ ~
~
~
~ pLACE OF FILING
A ST. Ulqf t~Otll~itY
~ ~ ~ TUTAL =
~
~
~
~
~ WITNESS my hond at Jackaoavilla, 8lciridA , on this,
~
~ the_.Z,~,a~doy of ,T..~~_, 19 7S
~
~ S!GNATURE f~ T1TLE
~
(NOTE: Certificote of o er outhorized bp law to take ockrawledgmenK is not essen~~al to the validiy of Notice of fedaol Tax lien G.C.M.
~ 26419, C.B. 1950-51, 125.)
PART 31To be used for recording purposes dQ~K ~ACE 1~~
~
o ~ ~~,a; ~ _ - ~tt~ ~
~ -
~ ~ ~ ~ ~ ~-A
_ - _ _ _