HomeMy WebLinkAbout1742 464644 ~ _ ~ - ~
Form 668 Department of the Treasury -Internal Revenue Service ~
(Rev. September 1978) Certificate of Release of Federal Tax Lien
[)istrict Serial Number For Optionsl Use a Recording Office
D~t~o~t 3801 QLet'It ~i49-S~
Beoosdei 6eo~t X11
1 certify that as to the following-named taxpayer, the requirements of section 6325(a) Pie 1738
of the Internal Revenue Code have been satisfied for the taxes listed below and
for all statutory additions. Therefore, the lien provided by Code section 6321 for
these taxes and additions has been released. The proper officer in the office Jay 29~ 1q/9
where the notice of internal revenue tax lien was filed on Jae 24bh 4~A ~
19~_, is authorized to note the books to show the release of this lien for ~t
these taxes and additions. ~~9 NQY -2 AN 9= ~ 3
Name of Taxpayer
~ r~~ - ST
IUC~~
CdiINTY Fld.
ROGER POITRAS
Residence 1~~,,~~{~, CLERK CIRCUIT CC R
Unpaid Balance
!~t;;~ TAY Pwrinel Ended Date a assessmenc IdentHyfrtQ Number elf Assessment
!a) (b) !c) !d) !e)
~ 7562 OS-2Ir-76 ~
941 Ol 7606 03-9.-T1 38-1~A7~ L632.8'T
941 Ol 7609 0}2-77 38-1~8'1~7'9 2300.48
9~.1 txl 7809 12-18-78 3~-3~aT9
941 Ql 7'8L2 o3-~t2,-T9 - 3~~1s78879 17~D3.7i
Place of Filing
C1~Tk O~ G~1'ORI~t. QOl1Tt.
• st. Lt>taie Cauot, Total =7663.62
Ft. Yferos, FLoac3da 1838
This certificate was prepared and signed at Michigan Ave. , Dearborn, Michigan k$1?1. ~ this,
the 30th day of October ,19 79
Signature Title _
/J ~ Group Manager ~p~
we: CertHiute of otlicsr authorized by law to take acknow?edgmanta Is not aatential to the validity o/ NWice W
Federal Tax Uen O.C.M. ?6119, /95P/, C.B. 12b.)
~E~~~~i'I~O: AMERICI~*' FEDERA~af~~~d~se~~d~~t~~ Southfrield, 1'~rrn~~~ev.s-TS)