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' F«T ~ , DEPARIYENi Of TME THEASURY- NiEHNAL REVENUE SERYCE For Optional Uss By ReCOrd~ny Ul/ic~
j ~REV. 4-7At- ~ CERTIfICATE OF RELEASE OF fEUERAI TAX LIEN ~ ~~~EO AND RtQ~R~EO
+ DISTRI T SERIAL NUMBER CIE COUN Y LA.
~ AOCER POITAAS
351980 B260 Y2875 CLERK C~RCUIT COURT
~ I hereby certify that as to the foflowing-named taxpayer the requirements of section A"~'"'!' v_fi~itEO
i 6325(a), Intemal Revenue Code, have been satisfied with respect to the taxes e~u- y~~ 1 IO 31 AM
i merated below. tagether with all statutosy additions provided by section 6321; and
` that the lien for such taxes and statutory additions has thereby been released. The
' proper officer in the office where notice of internal revenue tax lien was filed on
~ December 8th 19~_. is hereby authorized io make notation
on the books to show the re;e8se of said lien, insofar as the lien relates to the follow-
~ ; ing taxes. ~
NAME OF TAXPAYER
: ~4~i1.
~ Y
' 7~~~iiii I~la~i tir. -
R ~ ~w~'r ~/lr~t, ~i ~ .
f -
` ' UNPAtD BAIANCE
~ ~ KIND OF TAX TAX PERIOD ENGED DATE OF ASSESSMENT IDENTtFYING NUMBER OF ASSESSMENT
~ (a) (b) (c) (d) (e)
~1~~ ~1~
. - ~
~
~
~ PLACE OF FILING Q~t ~ ~s ~`~r
~r. ~ TOTAL S
~ ~I~~ ~i ~
~ ' .
~
~ WITNESS my hand at_ _iacksnnvu}Q ~ F1 prida on this,
-
`Y~ ihe 25th dayof April , 1978
~
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~ SIGNATURE « ~ _ rJ TITIE ~ ~
CJ /LE'
~ Van E. 0'Neal Ac d
INOTE: Certif~cate ot officer author~zed by law to take acknowledflments is not essent~al to the validity of Notice ot Federel Tax Lien G C M
~ 28419. C.B. /950-1. 125.)
't ~
- PART 3- To be used for recording purposes ~
.