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Form 6~ ~ OpMT11ENT OF TNE TRfAW RY-INTE~NAI ~EYEMUE SEMCE FOt ~d0/~d UM OY R~Ca+dMr1 ON~if7! -
~aEV. ~ta'n CERTIFICATE OF tIfLEASE OF fEOERAL TlU( LIEN
DISTRIC S RIAL UMB C[FAX
~ Di~ 2S9 Tg 1326 . r;•r.Fpr
R~~~EO GIlRt
1 hereby aKtify Uut u w the followin9-namad tsxp~yer tfie raquirernena of Section . .
632b1a1. Internsl Reve~ue Code~ hsMe besn satisfi~d with ~espsct to th~ tsxat e~u- ~ .
~ b„ s.~~~-~,: ~ 1 ~r 1'~ 12 as pH , _
tfiat the lien for such bx~s md stswtory sdditions has dmnby been relessed. TM
p~off~ r i~ ~hc offios- whers notioe~f iotKnal reveaue tax lien wss filed on . ~ .
, 19 . ~s henby w~o~i:ad to make notation ~,~~~,Yad/~,r
on his bQoks to-show the rolss~a of said lien, i~sofar as ths lien misbs to the foNow-
i taxes. `
~ `~ir°~:"'~p'~it~cauc rt~ ~ .
RE ID NCE
i~ 02e~wi~ ~w~
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I UNPAID BALANCE
'i KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF A6SESSMENT
W ' (bl Icl (d1 b)
i~o- . . ~~-~-~'S a~-rt-~i ~~-~-"Pol~ i ~~•e3 -
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~ P~ACE OF FIUNG
~ ~ ~ ~ TOTAL S ~~~O~A~
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t WITNESS my hand at ~~O°~ill~. llot ida m~sl
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~ the ~t day of ~tob~! ; 19
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SIGNATURE E
~ Juk Duraat ~6i~t. Spacial Proc~duru StaE~
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~ (NOTE: Cert~liua' lar wtho~iz~d b~r I~w !o tak~ aclcnorrNdqnwna k~+ot ~ntial to tM tilidity ot Notla of F~i1 Tax liM G.C.M. ~
26~19. C~s19 .1 ~
~ ~11f.Y~ 6~(Y p~Qt !_Tn ~u ~.c~ ~nr rwnre~'inn n~~roecws , ~