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Cede of. Releas+$ of? Federal Tai Lien
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Distrf Ct - - - -
~t8lrber _ ~ F,o? OVdanar tM b~iheadtrw o~we~s--- - -
~k #~~'2sl BIC-3os PG~227 ~ S~ _ AIM ~ 3
1 oertiy thou as to the fdtowing~narned taxpayer the requMenrents of section 8s26(a) ~
of the Intefnal iiavenue Code have been sl~sfied for the taxes tinted below and
for afi statutory additions. Therefore, the Iign~Pravidad by Code section 8921 for
these taxeia and additions has been releasett. ThB prof~er Officer M the office t VERIF - -
where the notice of Intemai revenue tax lien-was filed on 15 _ - _
1$~_ is authorized to note the books tp show the release of this Tian for
these taxes and additions. - -~4Q
Name ofTaxpayer - -
Residence
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!1a -
fUnd of Tax Tax t~erfod Ended Oats of Assessment N~ Number Asssasntentt
ra) m) fc) foU -
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A+aek o~ E~s+e~ls! 4itiet Total = Z~~
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This certificate was prepared and signed at - Jacksonville, Florida ~ ~
30th A i 79
the day of ,19 y
Si9nahrre True
Van E. O'Nea ief, S cial Procedures Staff
(Nobs Ca~tlNCab of ofttcar aufAatzaO by qw fo takes acknadadpmanb !t not W t0 tM vagdlryr Nofiq o/
Fstlaral Tax l.lan O.C.AI. 2619. 19641, C.B. 126.) 8t1~t~ ~~1 ~S
sYa ~ I... .~..w~.it.........~~__ 1y~ ~~s Q!A /l7... A 10.