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Fonn Edo oEVNtrt~rrr of T?te teEwwtr-wrta~l I~rFr+ue sERNCE For Opbnd Uw Ar Recn.dng OtRce
1 ~~EV ~-~o) CBtTiHCATE 0~ RELEASE OF fEDBtAI TAX t~N ~ ~ AA q+q~ ~
DISTRICT SERIAL NUMBER `~~IG?V
II~.Ee I 254124 B-2I3 P-29131
1 hereby certify that as to the following-namec:~roxpayer the requirements of Section
6325(a), Internal Revenue Code, have been satisfied with respect to the taxes enw
' meroted below, together with all statutory additions provided by Section 6321; and
that the lien for such taxes and statutory additions has thereby been released. The 1979 OCT 26 ~ ~ ~ 4
proper officer in the office where notice internal revenue tax lien was filed on
' 'riay 10 19 , is hereby authorized to make notation FIL~EO~ANO haaiKUtD
on his books to show the release of said lien, insofar as the lien relates to the follow- S ROGER
PO
TRAS A
ing taxes. CLERK CIRCUIT COUR
NAME OF TAXPAYER R, C0R0 vEt;tF'EC _ O} ~-.1..`~
~L'! !is{s'~atrsicl laTf3t~ ~ V
RESIDENCE 4~~.7~3
c% tiesald mss, ~ 4, lloec 676
- UNPAID BALANCE
KIND OF TAX TeY ~~C>D ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~a) ro) ~c) (d) fie)
i
~ PLACE OF FILING
Q~s 431' ~t TOTAL =
_ ~ s.r_
i • Cet>lll~y
WITNESS my hand at ,;4c~:j~j;:'_? le, r^l~rid~ , on this,
the 10 day of Oc~o:.er 19 79
SIGNATURE ~ TITLE
`.'an E. Z_> ~ ~i~~ Chie, ~peciial ?rocedurea Sta:f
i INOTE: Certificate of officer authorized by law to take knowledgmenh is not essential to the validity of Notice of Federal Tc~c~ iert G.C.M.
26419, C.B. 1950-51, 125.) q r~
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