HomeMy WebLinkAbout0517 I~ ~ 435694 ~
- oe~rr~ert oc n~ n~~wn - wrewiu ~ fo. ovaa~a+ us~ R.~o~nainy o~tio.
• tR~ i-~i~~ CERTIF{CATE OF RELEASE Of FEDERAL i'AX LIEN
DISTRICT SERIAI NUMBER • _t~'~ :.'lu n~~U~t'?En
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i . 412932 B--292 P-32 . . . . ` -
1 hstaby osn~fY thet as to ths folbwing-namsd tsxpayer ths requirsments d section .
63261a1. Intemsl Revenue Code, hsve beeo satis6ed w~th respect to the tauces snu- 435694
meratsd be~ow. togsther with a~~ statuwry additions prov~ded bv section 632 t: and r. r:~ 2 S~ P31 s
that Ms lie~+ for wch tsxos and stscutory additions has ther~by bee~ relsased. The i~ ?l\
propsr ott~ in the offic:e where notioe oi intemal rovenue tax lien was filod on
_ e~,~~t g . 1~~g... is hereby .autho~ed to ma k
e notstion
o~ the books to show the rebase of said lien. insofar ss the tien relates to the folbw- • ~ _ .
i texes. ' • ` ' - ~
NAME F TAXPAYER % ?
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RESf~ENCE -
uNP~u~ enu~
KIND OF TAX TAX VERIOD ENDED OATE Of ASSESSMENT IOENTIFYING NUM9ER OF ASSESSMENT
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~ LACE OF FILING ~ ~ ~~t
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~ ~ Jacksonville, Florida
r WITNESS my hanA at , on this. ;
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t~ 24th day oi January _~g 79
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~ SIGNATURE ~ TITLE
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~ V n' ' 1 Chief ' i 1 r c '
~ (NOTE. G.t~f~cate o1 oH~ur authoru~d Dy Isw to tsks ackrwwlW9ments is ra~ essentul to tM vatd~ty of Nodcs o/ F~Ox~ Tsa lwn G.C.M.
~ 26119. C 8 1950-1. 12 5J k g
~ 17
~ PART 6- To bs ussd for rscording purposss a~~~r 4 y~t;f 51, 1
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