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F°"" 668 - oeo.lemen, a,n. Trerawry - Internal R.venue s.lvice
~R~,.s~.~bor,s~a, Certificate of Release of Federal Tax Lien
District Serial Number ~'~4~8 Fo, optlonaJ w. by a.eoranp orrle.
R 459853 b-317 p-78 ~ R
I certify that as to the following-named taxpayer. the requirements of section 6325(a) .
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 faxes and additions has been released. The proper officer in the office ~r~418
~ where the notice of internal revenue tax lien was filed on Sep~eu~ber 2Utt?, '
j t9~_, is authorized to note the books to show the release of this lien for P~f.EO ANC r! ~.~~~<oE0 ~
I thou tA,r~ arul ~ilrifir+r;~ j . t (IC1r r c~ ~
I Name of Taxpayer CLERK c~ r.~. ;it CO T
I 111:COpP !E e n
i aictiri Y ~ Z~ 2 21 ~ ~q
Residence X110 s
i
>M !l~se~. A 31450
f
E Unpaid Balance
Kind of.Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
i (aJ /b) lc) ldJ leJ
i
~ I
lOtO-17 7707 Oi~2S~T! 227•>~tS~lM SOx7I~.i0
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4 ~ •
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9
Place of Filing C~a Ciswrit ~t
r
>k i~si~ ~''Mltl+J? Total S 1px727.f0
tt !L 33450
This certificate was prepared and signed at _ ~asltsenv ; 11 e--: le i<fdb , on this.
~ the 11th day of Uece,.;tJer 9 7y
6
E Signature 7 Title
t ~
Van U Nea Chief, Special Yroced~:res Staff
(Not.: Cerliliuls of oNicsr sutAorized by law o lako acknowledpmants is nol assen?ia! to IAY validity o1 Notic• o/