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~ ~ . • CERTIFICATE OF RELEASE OF FEaERAI TAX LIEN fa Optbnal uspp~'~Br Rt>~inp OVII?i~n
DISTRICT SERIAL NUMBER S~5~a7s
401891 Bk286 P 3
i I htireby Aeftlfy that ati to the tdlowing-named taxpayer the roquiromenri of section
83Z61al. Internal Reverters Code. have been satisfied with respect to the taxes enu-
nterarid below. together with all statutory additions provided .by section 8321: and 19~U til~Y -4 PIi 12. i 2
that the lien for such taxes and statutory additions has thereby been rolesasd. The
proper officer in the offios where notice of internal revenue tax lien was filed on c„ r t • . ~ . ~ . n
~Y 2 1il_ 78 . is hereby authorized to make notation s ~ •i ~ ~ ~ i A.
on the books to show the release of said lien. insofar ss the lien relates to the fdk~w• f
` ~ ~ ~ ~ ' f ' '
i taxes. CC~:.~c ;,.:c,;U~I Ci'vR
N E OF TAXPAYER f;:~°-~ ~-qtr.-?-
~ iii ¦~nlit 5115836
RESIDENCE _
~ UNPAID BALANCE
KINO OF TAX TAX PERIOD ENOEO OATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSES.r'' RENT
'i Ia) Ib1 (d W) NI
~ ~
-PLACE OF FILING
- TOTAL t ~e~
I -
't WITNESS my hand at_ Jacksottville, Florida ~ this.
the 16th day of Actnhar _ 19_ AA
SIGNATURE %1~~ ~j ~ TITLE
~ Van B. O'Nea - Chief S
p~cial' ProcedlJres Staff
(NOTE: CertArcae. or officer aucnorQad br law tot acknowladprnants rs rat assantial to tfn valdittr of No6a a/ FtrOarN Tu Lia+ G.C.M.
28419. C.B. 1950• t. 125.)
PART 6 To bs used for recording purposes d0~t~ Wfr