HomeMy WebLinkAbout0018 Form ~ OeWAnNnt o~tM Trayaury- tM~rrld iMwnw S~rvb~ ~ ~ . - , r
tR.,r.Sa~ptrr~0.r,978, Certifit:ate.af Release of Feder~i Tax Lien
District Serial Number ~;3 - Fa opNorw ua by RrroaaYbp onro.
-:442865 B-307 P-2945 ~ 3O ~ j~
l certify that as to the fdlowing-named taxpayeif, the requirements of section 6325(a) ~ C
of the Internal Revenue Code have been satisfied for the taxes listed below. and s ~ ~TYA A.
for all statutory additions. Therefore. the lien provided by Code section 8321 for T
these taxes and additions has been released. The proper otfioer in the office yf
where the notice of internal revenue tax IieA wes filed on_ May 2 ,
19~_, is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer _
~t
Residence
~iw~
UnpaW Bslsnos
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessn,eet
W (b) lc) ld) [sl
Z~~~~ iilii1
Place of Filing
a.~ a ~s. cwt ar:t Total :
_sc.~s. a~.tYa~a...
This certificate was prepared and signed at Jacksonville, l?I. ~ ~ this
the 29th May 80
Signature Title
Van S. O'Neal ~ Chief, Special Procedures Staff jp
tNotac ce.rrr?c.r. a oHtcei aurnorisad M law ro ak• acknoadadpm.nn ra not .ssanrla/ ro me var~oxy a Nak• a
fdwar rx tt«r o.aw. za+rx rvsar, c.B. r2s.)
P, ~g Part 3 - To be used for recording purposes Form 688 (Rev. 878) '
8~~
_