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Ftxm ee8 t1BAATY~T OF TIIE TIKASIM? - wTelw?t REYBAE SB~YICE for OPT use 81? Rscadiny onios
tREV. 2-BSI CERTN''ICATE OF RELEASE OF FEDERAL TAX LIEN
DISTRICT SERIAL NUMBER -
k ,393001 B-281 P-1704 ~Q~
I hereby certify that as to the following-named taxpayer the requirements of section
6326(x). Internal Revenue Code. have been satisfied with respect to the taxes enu- ~ ~ p ~ 36
meratad below. togetlter with all statutory additions. provided by section 6321: and
~ that the lien ~Mr wch taxes and statutory additions has. thereby been released. The
prol~rEBoff in the office where noti of internal revenue tax lien was filed on
_ __FF tith 19 7~ is hereby authorized to make notation ~ C
on the books to show the release of said lien. insofar as the lien relates to the foliow-
i taxes. REEtflt YERIFtEO
NAME OF TAXPAYER
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RESIDENCE
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met •jll~w,~ A ~i1M
uNraD eAlwNC:E
KIND OF TAX TAX PERKiD ENDED GATE OF ASSESSMENT IDENTIFYING NUMBER - OF ASSESSMENT
la1 Ibl Ic) (d) Ie)
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PLACE OF FILING ~ ~ ~t
~ TOTALS
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WITNESS my hand at Jacksornille FL. , on this.
the 12th day of MARCI. 19 80 -
SIGNATURE TITLE
' ~ " ~ Chief S cial P.r cedures Staff
VAN E. O
(NOTES Csrtficate of oH-.ur authoraad by ?sw to take acknowledgments ~s not essentwl to the val~dty of Notice of Federsl Tea lien G.C.M.
26419. C B. 1950-t. 125.!
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