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eee oe~etrlelr ~oF tllE tllE~tller - rrteaMl ~elelaE selacE For Option+r Ust 81? Racor~dirtp Oil<ky .
IREV.2-771 CERTIFICATE OF RELEAiE OF"FEOERAL TAX LIEN
DI SERtAL NU BER 4~~I~~a ' ` ~ ~ 30
` AM i~ 50
1 hereby certify that ss to the following-named •taxpayer the requirements o/ section FILE A
6326(ai. trttemsl ReMertus Code. have been satisfied with respect to the tares enu• ST ~A.
~ metaled below together with all .statutory additions provided by section 6321: and
thst the lien for such taxes and statutory additions has therapy been released. The CIRCINT CW1tt
properJ~of~3in the office vtfiere notice. o
$ internal -revenue taut lien was filed on ffdRit yElltftEO
18„__7 is hereby sutllorized to make notation
on the books' to show the release of said lien, insofar ss the lien rotates to the folbw-
i taxes.
NAME F TAXPAYQt '
~ ~r ~
RESIDENCE
( Ss ~ ~ ~
UNPAID 6AIANCE
KIND OF TAX TAX PERIOD ENDED OATE OF ASSESSMENT 1 DENTiFY1NG NUMBER OF ASSESSMENT
lsl ID1 (c) Idl Nl
~ N =
IOM 1~~~ ~ra
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PLACE OF FILING ~ ~ t
TOTALS i~~i~
Z
WITNESS my hand at Jacksonvi 11 ~ this.
the-~-daY of _ Maw 19 f;d .
SIGNATURE ~ TITLE
' (NOTE: C~fiicaa d ofRou sutAorasd M Isar ta>b sdcno+vNdyinK+ts snot osaonusl, to tl+t? validity of Notice d FAN Tta[ tdtn G.GM.
2619. C.B. 1950-1. 125.1
at)f?X ch~~ P~ ,E PART !f - To be used for recording purposes i
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