HomeMy WebLinkAbout1389 ' Form 668. oENUtt>~NT ntE noewutRru::twAt is stevtcE Far Opiond Use M Reoortiny OAia
(REV lao~ CQTiKATE Of RBEASE OF fED~AI TAX" t~N
DISTRICT sERULL NUMBER 43143
j 291231 B-231 P-2340
I hereby c a as olbwing-named Taxpayer the requirements of Section
~ 6325(a), Internal Revenue Code, have been satisfied with respect to the taxes enu- ~ ~Q ~ 5 ~ ~ 25
j nterated bebw, togetFter with all statutory additions provided by Section 6321; and -
i that tha Tien for wch taxes and statutory additions has thereby been released. The p
Proper officer in the office where notice of internal revenue tax lien was filed on A.
September 11 ~ 19_Z4, is hereby authorized to make notation A
i on his books to show the release of said (ien, insofar as the lien relates to the follow- C CURT ' D
ing taxes. YERIFtEO T
NAME"OF UXPAYER
4331.43
j !s. i A~l~tr L "
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RESIDENCE ~ ~ ~ ~e ~
j UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
i (a) lb) (c) ldl (e)
~ ~ lON lt•)1•Tt ~~+73 !f~'i~ir137s ?1,~M~.N
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1
1
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` PLACE of FILING "
~ TOTAL ; le~e~
FOtt PNaoR; FbFld~ .
WITNESS my hood at Jacksonville. Florida _ , on this,
~ 10th of April 19 80
SIGNATURE TITLE
Van E. 0 Neal
(NOTE: Certificate of officer authorized by low to trice odcnowledgments is not esseatid to the validity of Ndice of Federd Tox Lien G.C.M.
26619, C.B. 1950-S1, 125.) aw(~w/~A,'