HomeMy WebLinkAbout0157 ~ . . ~ , ~ ~ - . -w... . `t _ -...1;-.~w.._..t~` p ~w.~. ~-~...r
~ /
~ F~~ ~ OEPARiYENi Of TNE 1REAStlRY - NTERNAL HEVENUE SEMCE ~ FM Optional Us~ 8y R~cadr'rp •
~aEV. a•76) . CERTiFIC11TE OF REIEASE OF FEOERAL TAX L~N
DISTRICT SERIAL NUMBER - ~p ~ ~RFEp 4
T~YC
I hereby certity that as to the tollowing-name~ taxpayer the requirements of section ~E~
~~~~~g ~ ~
6325(a), Internal Revenue Code, have been satisfied with respect to the taxes enu- ~E~*p ~T ~
merated below, together with all statutory additions Rrovided by section 6321: and
that the lien for such taxes and statutory additions has thereby been released. The Mag ~ t f 0 v2 AM s I ~
proper oftice in the off where notice of intemal revenue tax lien was filed on ~ ;
~ 5anuary , ~ g__Zj, is hereby authorized to make notation - ~
, on the books to show the release of said lien, insofar as the iien retates to the follow- ?
k ing taxes. .~c p~~~ ~
~ NAME OF TAXPAYER a7a~901iNf1
tlil~i O~i. • " ~
RESIDENCE -
' ~ ~
~ ~
UNPAID BALANCE
KtND OF TAX TAX PERIOD ENOED DATE OF ASSESSMEtJT IDENTIFYING NUMBER OF ASSESSMENT
l~) (b) (c) (d) (e)
f j f~A 1l~~-7~t ~-~-75 l~~1~1
~ ~p 1!~-)t-7S 6-1~-7~b " 1 sl1~,~.lS
; '
~
i
~
;
~
,
i
; .
;
i
~
I
i
~
i
~ .
i
;
,
,
,
~ PLACE OF FILING Q~~ C~t
~
~ ~ j~~ Q~ ' TOTAL S
; . !'t. tli1~+M~ j~
~ j
WITNESS my hand at ~dCkSO~V 111 e, Fl orida , on tn~s. ~
the 25th day of Februarv , 19 7~ R~
~ _s .
SIGNATURE TITLE
Chief, Special Procedures Staff ~
ack Durant
(NOTE Certfiute ol oBi i aut ized by law to take ~cknowledyments is not essemial to !he validity of Notice ol Federal Taa lien G.C M.
2e4~e. c e. ~esa~. ~zs.~ Ii1~ C
PART 3- To be used fw recording purposes t~~ ,c