HomeMy WebLinkAbout1877 f
' form d68 of THE nIEIW~e+r-a+1HNAl ~EVeiUE SHV~CE 6or optioed u,. y R.oordrq oA1c.
1sEV. t-i0) CQTXiCATT Of RBEASE OF fEDt~AL TAX ttH!
SERIAL ~ 285708
I hsroby certify that as ro the fdtowingawmed taxpayer ifie requirements of Section 4~~~r
~`~`j
} 6325(a~, tntemot ReMSnue Code, hws been tatisl'ied with respect ro the lazes emr- - .
' metaled below, togellbr with all statutory add`fions provided by Section 6321; and '
that the lien for such fazes and statutory additions hqs thereby been released. The ~ KA~ ZQ
i proper o$'icer in the offios where notice of internal revenue-tax lien was fibd on
_Tn t v 1 ~ , 19,24.. is hereby authorized ro mdce notatgn
~ on ha bodes ro show the roleose of said 1'~en, insofar as the lien rolaites ro the fdbw-
trig taxes.
NAME OF TAXPAYER - at'tMti'YEItiF
RESIDENCE '3~5r
! ~t ~ .
~o
i UNPAID BALMICE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
i ~a~ ro~ cdi ~e~
~Oit1 1D o7G1 ~i3~ - ~ = 711~.?3
i
PLACE OF FILING .
' ~ ~ TOTAL
~ rs+r.~w„
i
WITNESS my hood of Jacksonville. Florida , on this,
the,~doy of lrtav , 19
SIGNATURE TITLE
Van E 0' Nea ~ l~
Chief S ecial Pro a es St ff fe
1PI01E: Cartiticde of olFicer authorized b,? taw ro take odmovvled~nants is not essenfid fo tl,. votifi~r of Notip of Federd Tax tier G.CJYl.
26419, C.B. 1950-St, t~S.) - i
TART 3--To bo used for nwrdlir~ pwlwees ~ P~~L(7 / V