HomeMy WebLinkAbout0543 Form 668 os~r~rr of tttE nfwsue+r~ttr~ tevt~e st3nrtcE For opno~o+ tl,. M ttoordr~y oAGn
(RE11. 1ao) CERniCAiE OF RBEAiE Of iEOBAL ?AX tai
j DISTRICT sERIAa`.a~It~rrldER 256050 48;~6U3
Bk 214 P 2821 _
I hereby certify os ro the fdlowing-noms~ taxpayer the requirements of Section
6325(a~, Intenwl Revenue Code, have been sMisfied with respell ro the taxes enu- ~ ~ (4
merated below, together with dl stahitory addifiota provided by Sedion 6321; and
' that the lien for such foxes and statutory addiliota has thereby been released. The ~ .
officer in the office where. notice of internd revenue- tax list was filed on
June 5 , 19~, a heroby auHwrized ro make notation
i on his bola ro show the release of said Tien, insofar os the lien relates ro the fellow-
! ing taxes. ~~f~ -
NAME.OF TAXPAYER
4803
RESIDE E
Dart sr. ~
- UNPAID BALANCE
j KIND OF TAX TAX PERIOD ENDED ASSESSNAENT DATE IDENTIF1fING NUMBER OF ASSESSMENT
i ~ lal (b) kl ld) b)
~ 1ir Ybalc~ 3{. Y. .
' ! 9~1 i~!!~dl~ 7l 06~?2 09 ~ 4,it1.73 13 ffitt0~ L00~7~+T3 : 1T~OB~t.60
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PLACE of FwNG .
C~tplt:~ GLialdt Cadet
TOTAL = i?~~
WITNESS my hand at ~n,.4~i+nv~ 7 7 e itl i+r~d' , On this,
the 1 ~ th day of Marsh , 19 °n ~ -
_
SIGNATURE ~ TRLE
Van E. O' Chief S ecial Procedures Staff
(NOTE: Certificate of otlioer ou by low ro t is is not euentiat ro the vdid' of Fedar T G.C.NL
26419, C.B. 1950-51, 125.) ~1~j~ P~ ~~M