HomeMy WebLinkAbout1393 i Foim ~B ot~utne~r of ittE nEwwer-x~rue~ut sty For opt us. er roo.dr~ oRa ~'1
IttEV tao) ~ CERT~IUTE Of RBEASE OF fED~AI TAX LEN
~ DISTRICT. SEitW. NUMBER 4~
93511 $K 281 PG 2444
i thereby certify drat as ro the followin8-named roxpayer the requirements of Sedior?
j 6325(a~, Internal Revenue Code, have been satisfied with respect. ro the taxes ettu- ~ ~ g ~ ~ Zs
j meroted below, rogeMter with all statutory add'ih'otts provided by Section 6321; and
that the lien for such taxes and statutory additions has thereby been released. The ~ tt
j proper office ip the offia~~rhere notioe~ internal revenue tax lien was filed on S
ebruary 3 , 19 , a heroby authorized to make notation
on his books ro show the release of said lien, insofar as the lien relates to the follovr-
ing taxes. RE . IIIfIEp
NAME OF T/1XPAlff31 ~ ~f~:
~ s a~.~treta 4bi3147
j RESIDENCE
~joi srw ~ slwrt
i ~t
~ uNPaD BALANCE
~ KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIF1fING NUMBER OF ASSESSMENT
(a) lb) _ _ k) _ (d) bl
101/f 1~•~•T~~ Od•~-TI. ~~TS ~f~ti
j - .
' t0ii~ 11-31~T~t 0~•2N•T? * • N/1•t!
- - -
i
f
i
PLACE "OF HUNG
TOTAL ; 6~~
Fat Ptera, Irlorlds
WITNESS my hood at JACKSONVILLE, FLORIDA ~ on M~is,
~ •10_ ~y of Aril ~ tq 80
SIGNATURE ,/j TITLE
(NOTE: Cert~cate of ofi'icer authorized by low to take ackrwwtedgments is not essentid to the vdidity of Notice of Fedard Tax Lien G. .NL
26419, C.B. 1950-St, 125.) '
PART S-To be used foe ncordino purpssos ~ ~ P1rbf