HomeMy WebLinkAbout2724 444624
F«~ 6tsd pEP11RTMENT Of THE TREASURr- NTERN)1l REYENIIE SERYCE For Optional Use 8y Aecordmp Office
(R~• are) CERT~ICATE OF RELEASE OF FEDERAL TAX LIEN
DISTRICT, SERIAL NUMBER
1 hereby certify that as to the following-named taxpayer the requirements of section
6325(x), Internal Revenue Code, have been satisfied with respect to the taxes enu-
merated below, together with all statutory additions provided by section 6321; and 19T8 ~AY I s ~ ~ ZZ
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 p_~~ipRE000~
` December T 19Zb-.-, is hereby authorized to make notation
I on the books to show the release of said lien, insofar as the lien relates to the follow- E~1~01 RA
ing taxes.- yYtRIFtEU~.s
NAME OF TAXPAYER flECQgO~ _ _
s ~ ~ ~ 444624
t
! RESIDENCE
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~ UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
(a) (b) (c) (d) (e)
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{ PLACE OF FILING ~ ~ ~
3 i fir. T~~ ~ ~ TOTAL S
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WITNESS my hand at Jacksouvillo-,--81ori~a , on this.
the ~~ay of . 19 ~e
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~ SIGNATURE TITLE
Van B, ptp~}1• ~ Chief, Special Procedures Staff
(NOTE: Certificate W officer authon by law to take a kn s is not essenti~t~th idity of Notice of Federal Tax Lien G.C M.
213119. C.B. 195x1. 125.) '''a~'~~
PART 3 - To be used for recording pure 'j ~
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