HomeMy WebLinkAbout1188 Fwm ~e8 DfIMTYENt~Of THE iREASUR - NiEIINAL REVENUE SERVICE For Optiwul Use By Recwdinp OHks
' (Rev. agar ~ CERTFCATE OF RELEASE Of fEOERAI TAX LIEN
DJSTRICT SERIAL NUMBER ^K1LE0 ANO UN
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- 35481 Bk 262 P 1 39 •.`'F >~cRlc'A
I hereby certify that as to the following-named taxpayer the requirements of section
6325(a), Internal Revenue Code, have been satisfied with respect to the taxes enu-
merated below, together with all statutory additions provided by section 6321; and n ,At, , ~ QM ~Z ; 09 .
that the lien for- such taxes and statutory additions has thereby been released. The 7
proper officer in the office where notice of internal revenue tax lien was filed on
19 is hereby authori2ed to make notation
on the books to s o the release of said lien, insofar as the lien relates to the follow- t, , . r ~ Y" '
ing taxes. C t_ ~ R K C s' ~ ~ ~ _1 i;
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NAME OF TAXPAYER
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UNPAIO BALJINCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IOENTIFYiNG NUMBER OF ASSESSMENT
(a) ~ (bl (c) (d) (e)
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PLACE OF FILING ~~t~~
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WITNESS my hand at _ Jacksonville Florida ~ , on this,
~
the 13th day of September . 19 78
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SIGNATURE t ~ TITLE
Frank L. Johns Actin Chief S ecial Procedures Staff
(NOTE: Certd~cate of officer autbonzed by la~nr to take acknowledgments is not essential to the vatidrty of Notice of Federal Tas Lien G.C.M.
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PART 3 - To tie used for recording purposes d
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