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I (Rw.aptMtlbKt9Ta) Certii~tcate of Release of Federal Tax Lien
District ~ Serial Number 4~ ~ Fo. ovdot~r va. dr R•eaolkq ottlo•
j a ~ ~ .446998 tik 310 Pg 570 ~ ~ 2~ ~ ~ ~
I certiy that Ss t0 the fplbwing~rrartred taxpayer. the requirements of section 832ti(s) #
of the Internal Revenue Code have been satisfied for the taxes listed below and
for ail statutory~eddittons. Therefore. the lien provided by Code section 8321 for ~
these taxes- and additions has heart released. The proper officer M the office R~M.YERiitE
where the notice of internal revenue tax lien was filed on June 7; 1999 ,
19 . is authorized to note the books to show the release of this lien for 4~~
~ ~ these taxes and additions.
I -
~ ~ Name of Taxpayer
~ ~ ~B
Residence
f i KMd of Tax Tax Perbd Ended Date of Ament Idsn Unpaid Balance
tihlirp Number of Assessment
cal coy cw cap c•~
f ,
~ i
i ~
i `
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r
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Place of Filing
QL~alt ~ ~ ~s
!t. tr~il~ artir~~ Ott~~~rl~w Total =
~l~ew~ Tyr '~iK,l~
This certificate was prepared and signed at Jacksonville, Florida , on this,
the 11th ~y~ A .19 80
i
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Signature ~ ~ w O Title
JV E. O~'Nea Chief S ecial Procedures Staff
(NOt•C Ce~tHkats o1 otticsr aulhodzad by law to tak• acknow/eOpm•nts b not •st•ntla/ to th• valklXy of Notk• 01
Fednl Tax Lbn o.c.~. ze+io t9sat, cs. tzs.) dlk
Part 3 - To be used for recording pu~n~x P~ orm 668 (Rev. X78)