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Fotn+as)s . - oErMtnssrr OF taEaslsr - srrelM~t nsvalnE sE11acE Fo? Optional ua. er ReeafdiaD
mcv. sar CERTIFICJtTE OF RELEAiE OF FERAL TAX LIEN -
DIf3TRICT SERIAL NUMBER -
42425 B 2
1 hereby 'oartify that as to the following-nsmed tsxptyer the requirements a section
83261x). Intsmal Reveftue Code. hsve been sstisfied with respecx to t11a texas erw- - .
frlsratad below. together with su .statutory additions provided by ssctbn 8321: and ~pY 20 ~ OB
that the lien for- such roues and ststutory additions hss tltsreby been rel.ased. The
p?opsr oKioer in the offloe where rlotioe of itlternal revenue tax lien was filed on
November 17 1s~7$=, is hsreb~y euthori>~d to make notstion - ~ ~
on the books to show the release of said lien. insofar ss the lien relates to the fo~low-
i taxes.
NAME OF TAXPAYER ItCN1s8 Y[RIFsEO
- 4L~'7Q83
RE CE
ws ~~.~.t .t l~N..t
UNPAID eAUNCE
KIND OF TAX TAX lERK)D ENDED GATE OFASSESSMENT IDENTIF1fING NUMBER OF ASSESSMENT
Isl Ibl Ic) Wl N1
f ~ fo~~
{ ~ .
.PLACE OF FILING ~ ~ ~
TOTAL
~~r~*~
1
t Jacksonville Florida
WITNESS my hand at ' , on this.
i
~ 16 ~y ~ A ri 1g 80
SIGNATURE TITLE
I Van E. a ~ CHIEF, SPECIAL PROCEDURES STAFF jth
f 1fr10TE: Csttifiests of offer sutlw~ae0 M Isrv to uls •duwwNdprmrrts n not oss~ntial to tf» validity of Nlotip of f~d~ral Ttnc Ian a-GM.
~ 28419. C 8. 1950-i. 125.1
PART 6 - To be used for recordirlo purposes