HomeMy WebLinkAbout0548 ..r
a
- ~ _ - - - - - - .r -
435694
rwm deb t~Mt11E11T OF TIIE ' IIIIT - INT61N41 ffFllfrME fH1YICE 7ptionaf Usy R~to~ding Of/ite
- utEV- ~•rn CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN _
DISTRICT SERIAL NUMBER __1 ~CCOni?E(~
,~C~.t~u6? 412932 B-292 P-32 = ' • - ' _
1 hereby tsrtify that as to the folbwittg-named taxpayer the rsquirsrtlents of section 4 r" '94
63251x1. Intsmal Revenue Code. have been satisfied with respect to the taxes enu-
meroted below. together with all statutory additions provided bti section 6321: and n ~ y s
that the lien for such taxes end statutory additions has thereby been rolsased. The ~ 2 ~ P;~ t
proper officer in the office whero notice of internal revenue tax lien eras filed on
_ a„R;, o 1 S~.g,... is hereby authorized to make rotation g
on the books to show the release of said lien. insofar as the Iien relates to the fdbw-
iity~ taxt~s. _ - '
NAME OF TAXPAYER /C i H g
~ ~~li
RESIDENCE
~Ta~~t.
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT ~ IDENTIFYING NUMBER OF ASSESSMENT
aI It:~ a? It+I ,
1~0~10 12•~•7~ ~2~'J~ i~~~2 f~0~07~0.~ t~
i9 29 ~ ! 3= r
f~~t~ r•._~~~t;
ROG!=~~ I'G TRt.S
f;tFRK C;i:ij:.
- . - 9
46'762
LACE OF FILING ~Kigit O~rI!!
~ TOTALS
Jacksonville, Florida
WITNESS my hand at on this.
~ 24th ~y ~ January _ t9 79
SIGNATURE ~ ~ TITLE
l
~s~
V n ' e l ~ Chief eci 1
(NOTE GrtrhCats of offrgr auttwr¢~d t>1r It1w to ts1~ sdcnowNdgnwnts K not tssentrsi to trtt, vairditr of Nlotiu of Federal Ttta link G.GM.
28als.ce peso-~. tts? kg
PART 6 - To be used for recording purposes 60C1r ~4 FA(;E 5i?