HomeMy WebLinkAbout1865 . ~ '
e
. t f
Forth see ~ulTMert OF - rtteslNl sewla far oprtor„? u:,f Br Raeordirrp QlYfrat
ptEV :a~ CERTIFICATE OF RELEASE OF FERAL TAX LIEN
DISTR~~ 8 887 U Bk E277 Pg 2542. 4~~~
1 hereby osrtdy that ss to the fdlowinp-named taucpay~r the requirements d section - .
632ss1s1. Internal . Raverws .Cods. have been satisfied with respscx to the taxes enu-
_ msretsd below. toQstllsr with aH statutory additions provided by section 8321: and
that ttli lien.. t« such taxes ants statutory additions has thereby .been released. The ~ MAY ZO AN 1~ 06 .
p?oper oifioer in .the ~offios where notice of internal .revenue tax _lierl was filed on
November 29 19L77 ; ~ fb~y autl+orised to. make notstison
on the books to show the release of said lien. insofar as the lien relates to the folbw• 0
C .
i taxes.
NAME OF TAXPAY~i
RQlt~ VERIF`tEH
RESIDENCE ~ ~ ~ ~ ~S
UNPAID 9AtAMCE
KIND OF TAX TAX f?ERIOD ENDED GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
Is) lDl id Id1 N1 _
I
i
i
i
PLACE OF FILING
€ ~ ~ ~ TOTAL t
' a
WITNESS my hand ai acksonville, Florida ~
i
I
i
r
s
~ 16 ~y ~ April 19 80
s
l
SIGNATURE ~ TITLE
Van E. 0 e CHIEF, SPECIAL PROCEDURES SECTION jth }
(NOTE: Cort~ficsw of offigr auttwrae0 by Iaaw to sckrwvvifadgrnw~ts is not ~stMtial to tM vt+Nditlr of Notice of Feral Tart lien G.C.M.
28118. C.B. 1950-1. 12 5-1
PART 6 - To be used for rst:ordirty purposes ~ P~~~