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(REV. 2~-rIl CERTiFiCATE ~ iBaEAiE OF ~ERRi1L TAX LIEN
f)ISTR ` • ~4~5~ bB301 pg-1380
1 hereby oettify thst• as to the follo~winp-named taxpalwr the nquiremsnts of seciio~t
632tNa~ IntsmN Revenue Code, have been sstistled with rospect to the taxes enu- .
nlsraad below, topetlter with all statutory additions provided by section 6321: end ~jg a~ -
tltat the lien Ior such taxes and :~at~tory additions has thereby .been released. The 8 I!
proper , offiosr - in the orrice where ratite of inteirrtal revenue tax lien was fibd on ~ ~ ~31p
Jan 12 tf~_. is hereby suthoriied to make notation
on the books to slaw the release of said lien, insofar as the lien relates to the folbw• '
i taxes.
E F T AYER RECWIp YRAllffO
wig 454424 ~ _
RESICE,~Cf~
~~44~~a?
uNPao sAUNCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lal IW (c) Idl Id
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PLACE OF FILING ~
TOTAL s~tl~
WITNESS my hand at Jac~:sonviile, Florida , on this.
the 31th say of July t9 79
SIGNATURE 1 TITLE
Van E 0' d1 j Chief S ecial Procedures Staff
(NOTE: Csrt~ficatx of offker suthoraed by Isw tskx acknowlrldpmN?ts ~s rat essenpal to tM vswdity of Notice of FAN tax Lxan G.C.M.
28419. C B. 1950-1. 125.1 PJ~ ~5 O ,
PART 6 - To bs used for recording pu ~
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