HomeMy WebLinkAbout0863 . _ _ _ - - -41~1~ ~
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- fom~ 668 oa~r,~rir oF n+e n~wwer~~rut eEVa~+u~ sdn+cE f•o. opo~+ol U.. er Reoor~i~y ot~o.
~EV. t-7Dj CQT~IGTE Of RELEASE O~ FEDeAI TAX !~N s'~.~~
E CO
NTY F~~.
DISTRICT SERIAL NUMBEIt ' ROGf.R POtTR~S
~ 235798 Bk-205 P-1191 ~~£PK tCU~t COURT
*c^---
1 herobr aertify that os to the folbwing-rwmsd tnxpa~rer the roquiremeoK of Section ~ r~F:,
6325(a), Intatnal Revenue Code, have bee~ ~otisfied with resped ro the tmces enw
~ ,,,~a~ togetF~er with all statutory additions provided by Section 6321; ~ ~P 15 . 9 z6 AM'~g
~ ~ tha? the lien for wcfi Mxes and sialutory addfio~s hos tt~eby been releosed. Ths
m the wheren~t~ f ielsrrwl ravenus tax lisn was filed on ~~~y~~O
P~P~' ~ugust ~ ~ ~q7~ ~~~y auNwrized to n?ake notation ~
on his books to slww ths releose of said lien, insofar os the lien relates ro 1fis fdbw- - -
ing tmoes.
NMAE OF UXHAYER
Ar~L~ D~irid Aas~D .
~
; ba~s ~~i~
~ i~art P3~t Flaeld~ 33~io -
_ ' ~ ~ . UNPAID BALANCE
; KIND OF TAX TAX PERIOD END~ ASSESSiNENT DATE ~ IDENTIFlfING NUM66t OF ASSESSMENT
~ la~ ~l I~1 ldI (e)
@
a . ~ Pa~~s~11~s ~ 1~ •
~ 9421fltl~oldin~ 22•3I~7! ~-i5-'72 ~E~•~ S I~682.~'?
~
~ ~ •
~
~ ~
~
~
~
~ ~
~
~ ~
~
~
s ~
~ :
~ .
PIAGE OF HUNG ~ ~
JS CYOt+~L"~. TOTAL ; 1 ~e~
WITNESS my hand at Jacksonville Florida , on this,
~ 28th ~y of August , 1978
3
T1TLE
$IGNATURE -
~
~ Frank L. Johns~ Actin Chief S ecial P e
~ ~NOTE: Cerhficote of off•cer autlwrized by law to take ocknowledgments is no1 euentiol ro the voGdily of Notice of Federol Taz Lien G.C.M.
~ 26419, C.B. 1950-51. 125.~ 0 R~~
~ PART 3-To b~ usad for ?ecordin~ purposes ~ ~
~ ~ - - - - - - - - ~
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~ . T .~,~;s
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