HomeMy WebLinkAbout1859 • ,
f
i -
- -
Fong ell6 OE!'MItIHIt aF t11E _ wtawk a>yareE fo. O~brra/ us. er R~n>3fnp Grxlc. ,
tREV: san CERT~ICATE OF RELEASE OF FERAL TAX LIEN _
DISTRICT SERIAL NUMBER
28596 BK 300 PG 1205
I hereby thst ~ m ttls fouowpw-named taxpayer al• requirements ~ :ectiorl48~7~'76
632b(a1. Interns) Rsvertus Cods. have been satis5ed with respect to the taxes enu•
nleraad bebw. togeUlsr with- sN statutory additions provided by section 8321: and _
that ehs lien for such taxes and statutory sdditions hss thereby been releaasd. The tp~ NaY
proper oHiosr in the office where notice of internal revenue tax lien was filed on wvY 20 ~ j(~ OS
Dec 27. 1978 19 is hereby authorized to make notation
on the books to show the release of said lien. insofar as the lien relates to the folklMr- ~ 8
i taxes. .
NAME F TAXPAYER pR
Rf~eely v~RlFlca
~ ~ ~t
RESIDENCE
u~ tiM Arts ~ ~ 48'74'76
. uNPAIO sAUNCE
KIND Of TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
la1 1b1 le! Id1 lel
-
_ ~ _
I
i
t
j
I -
i ~
~
N
t'
•J
{ .ir' ~
-
v ~
LACE OF FIUNGe~r
~ ~ ~ TOTAL
P
WITNESS my hand at lacksonvi_11e~ Florida _ on this,
t
` the 15th dsy of 19 Rn
4
SIGNATURE p TITLE #
~ Van E. 0' Chief, Special Procedures Staff.
!!1""" 4
(NOTE: Certificate of officer authored by lattr to tab ackravvMdgrner?ri is rat essential to the vtafidiq o! Notip of fetlerN Test lien G.GM. Rw {
2a418. C.B. 1850-1. 125.1 ;
PART 6 - To bs used for recording purposes P~F1~ i