HomeMy WebLinkAbout1276 - 4~~'7 Neal 06-23042664 - T
` Form ' Department 4f the Treasury - tntemat Rwenue Service
Certificate of Release of Federal Tax Lien
i (Rev. September 1978)
Dtstnct Serial Number For Optional Uss a Racordirp ofNCt'
1
3~ o
I certify that as to the following-named taxpayer. the requirements of section 6325(a) ;
of the Internal Revenue Code have been satisfied for the taxes listed below and ->:'tLEO AND REGO~CA,e
for all statutory additions. Therefore. the lien provided by Code section 6321 for Si. LUC;E COUNT
! these taxes and additions has been released. The proper officer in the office t.r C~"fin VERI~)~d
where the notice of internal revenue tax lien was filed on ills. /O 4~9~~
19~L, is authorized to note the books to show the release of -this lien for
these taxes and additions. ~Z9 Z ~ ~ $ ' ~9
Name of Taxpayer
CLERK CIRCUIT CGURT
Residence
~ 9ffilw~
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment identifying Number of Assessment
(al lbl fc) f (d) (el
' ~
f
i
}
l
~ {
I
I _
I
Place of Filing Q+~a ; ~t
;S ~
fr' i 9f~ Liotd,~ Total =
~Ipl~ pf+l~M~ ~1 ?~653~r
z
`r
'•'-0. ~ ,~i _ ~/c. , on this,
This certificate was prepared and signed at
the day of~ ,19 7
_
Signature _ Title
_ /
z
- (NOte: Certdicate of olt r authorired by taw to take acknowredpm is is not essential to the vaNdity o once o
Federal Tax Uen G.C.M. 261 i 9, 1950- t, C.B. 125.) ~ R ~ _ ~
3LC~ AL'.
Part 3 - To be used for recording purposes Form 668 (Rev- 9-78)