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Forit~ V V s - DepstG~t~t of the Treasury - IntKnal
(Re„s.Watnber,976) Certificate of Release of Fe r I x Lien:- :
pmt Serial Number For Optbnd Use bx R.cordWty orfice
1918 SEP 27 PN ~ 17
AO 443847-B-308 P-1528
1 certify that as to the following-named taxpayer. the requirements of section 6325(s) S t;oUNT f1~
of the Internal Revenue Code have been satisfied for the taxes listed below and PPOOII ' S
for all statutory additions. Therefore, the lien provided by Code section 6321 for fX C T
these taxes and .additions has been released. The propel
ffi ~ r in the- office RECORD vERtF~I:O
where the notice of internal revenue tax lien•was filed on
1912_. is authorized to note the books to show the. release of this lien for _ -
these taxes and additions. 4~~~
Name of'Taxpayer
~ti A. Lo'r~A -
Residence - - -
I r. a sro~ was - - -
w ~ F
_ Unpaid 681at1CA
Kind of Tax Tax Period Ended Date of Assessment identffying Number of Assessment
(a) (6) (c) (s)
n
,
r
f
~ 1Q~0 12.3177 Oi•i~~7~
' - _ 3
4 =
~ Plaoe of filing
Gt~e'1t o~ t~R tStCYit 41e~uet ~ Total :
i't. QMtrrty le0'r9.~
Post lS~stlos, 73+oarl~da ~0 ~ -
This certificate was prepared and signed at Jacksonville, Florida . on this.
the 18th day of Set ,19 79
Signature ~ n) ,q._ Title
an B O'Ne U ' Chief S cial Procedures Staff -
Mote: CertHicate of oHlcer authorized by Mir to lake acknowtedpn+ents rs not essential to the validity of Notree of '
Federal Tar Lien O.C.M.2811sa, 1541, C.B. f25.) pp~~ee'~~ _
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