HomeMy WebLinkAbout0621 ~Jr
Forrrl Department of the Treasury -Internal Rravenue Service `3i7~~ ~ /
(Rev. September 1978) Certificate of Release of Federal Tax Lien
f~StrlCt Serial Number For ovNonN uas by Racoroiny office
~ • 444ti19 B-3o8 P-2719 'g 26 3' t :S
certify that as to the following-named taxpayer. the requirements of section 6325(a) F ute ~_t ;,+~a. t ~
of the Internal Revenue Code have been satisfied for the taxes listed -below and S ~
up~~
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for all statutory additions. Therefore. the lien provided by Code section 6321 for fXEPJL CiRI~LYT
' these taxes and additions has been released. The proper officer in the office trc~ro ti~[z.E+EC
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where the notice of internal revenue tax lien was filed on_ ~lY 16,
19~_, is authorized to note the books to show the release of this lien for
these taxes and additions. 4~~'n
Name of Taxpayer ~rV
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Residence
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~ Unpaid Balance
Kind M Tax Tar Period ErufArf Ostt~+ of e~eacsenanl IetnrstHvir~ N~sml+e~ of Ae.....°Cw.4~On1 -
la) ~ (b) lW ~ (d) lel
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Place of Filing
Ctast, t~swd.! ONS~~
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This certificate was prepared and si ned at____ JACKSONVILLE FLORIDA
9 - . on this.
the ~ 6 day of Octob _ g ?9
Signature Title _
i AN"E: ~ GHIEF SPECIAL PROCEDRTRES ST
AFF t~F'
(r'JOtO: Ce~fi/iGafe of officer authonred by !aw fo fake acknow/edyments is n01 essential to the validity o/ Notice of
~ Federal Tax Lien O.C.M. 261/9, 19541, C. B. 125.) QkV~V faVE 619
BQt~K Form 668 (Rev. 9-78)
Part 3 - To be used for r~ording purposes