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( OepaAment o1 the Treasury • Internal Reve~we 8enice
668-
(Rw.sept.mber1~76) Certificate of Release of Federal Tax lien
f~strict Serial Number 5~'~~v For ovlr~w us. M)t.coratr~p on+e.
444615 Bk~os Pg27ls. 19x0 HOY -4 P!i 12~ ! 0
I Certify that as to the following-named taxpayer, the requirements of section 8325(a) F i` c f t s ~ U
of the Internal Revenue Code have been satisfied for the taxes listed below and S Ri ~ :a ~
for ail statutory additions. Therefore. the lien provided by Code section 8321 for t~[~,; .:,~::u,l ~:c;:~
theme taxes ~ additions has been release!. The proper officer in the offs F~~.^
where the notice of internal revenue tax lien was filed on!!8K 16 _
19_ZQ-. is authorited to note the books to show the release of this lien for
these taxes end additions.
Name of Taxpayer
iitttaire 1~8
Residence ~t ~
Ft !!mss A 1l4~Z
i
unpaid Balance
Kind of Ta: Tax Period Ended Date of Assaumetn Identitllllp Number of Assessment
~ [U [D) [W [d)
i
4 f
{ i !il iZ-b-7i 03-11-?! ~-i~~Oi~IS t,lt3.17
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Place of Filing cam. arm r
~ ~ Tdsl i 2~123.f7
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~ This certificate was prepared and signed at Jacksonville. Florida
. on this,
~ 23rd ~y ~ octobe ~ 9 80
signature rltle
Van B. O'Nea
Chief S ecial Procedures Staff
Mores e«rmear. a omc« .ufDorlr.d Dr a,. ro ak. .ekno~?ldymna a ro ene a NotM.. a
F.Wrd Tax LNn O.C.Y. 2M1~ 1if50~t, C.B. 12Q~) Pf~ pW
Part 3 - To be used for recording purposes. - For?n 688 (Rev. aT8)
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