HomeMy WebLinkAbout1958 Ftxn1 6~ ~ ~1t1Mnt d the Trtraairy - IMeMd RevMnrra 8etvlw
(Rev. s.oat~ba 1978) Certificate of Release of Federal Tax .Lien
t~strict Serial Number Fo? ovtrorw us• by Aecorwnp otrlc.
5;~Q13?1 0 SEP 30 ~ ~ 34
J
F FECOi~o
t certify that astothe fdtowing-named taxpayer. the requirements of section 6325(a) STRI~~~tY.F~A.
of the Internal Revenue Code have been satisfied for the taxes listed below and Rc~rotT
RSA T
for all statutory additions. Therefore. the lien pron?ided by Code section 8321 for
these taxes and additions has been released. The proper officer in the oNice ~uo>zo vERmEn---
where the notice of internal revenue tax lien was filed on
19 . is authorized to note the books to show the release of this lien for .
these taxes and additions.
Name of Taxpayer
~L
Q~flr~
Residence
~L ~r
UnpNd Balance
KMd of Tsx Tax Period Ended Oats of Assesarnent Identffflkg Number of AssssaneM
(a) lb) le) ltA pJ
I ~ ~ ~•M
w
I
Place of Filing
~t Yr 4hwlii Orly Total = i~.~
I zn~'an.. s~
This certificate was prepared and signed at ~ ~ Pierce' . on this.
the z3rd day of Sept:ember19 80
Signature Title
Acting Group Mai?ager
(Not~ csrtiricar• of . orricar aurhorr:•A M r.w to take acknowrl•dpmann b not •ssawHd to tM vaddity oI Notre 01
F•dral Ta,c lJ•n O.C.M. 2~fU, f!lfi4f,C.B. f25.) pI~A~~~ P~S~ -
Part 3 - To bs used for recordlnp Form 668 (Rev. a78)