HomeMy WebLinkAbout0956
' Form ~~~
j (Rev. septetnbsr l
DepartmetN of tM Treasury - Intemiil Ravsnw Service
Certificate of Release of Federal Tai Lien
District Serial Number For opetatw us• by AecorOirw ot-k:e
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4 0 324 P 44 ~ ~C -5 Aft ~ 25
I certify that as to the following-named taxpayer. the requirements of section 6325(a)
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S1. LIfCIE Cp~Ni . 1./1,
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axes
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of the Internal Revenue Code have been sat
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for all statutory additions. Therefore. the lien provided by Code section 6321 for
these taxes and additions has been released. The proper officer in the officeRE YERIf'KO
where the notice of internal revenue tax lien was filed onJ>lnt~ 17
19~_. is authorized to note the books to show the release of this lien for
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ese taxes an
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ons.
Name of Taxpayer
reso Z ~ ~ Bares
Residence
zro~s.nal~i
~. Pig, Fl, 3~~D
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
(a) (b) (c) (d) (e)
9~ ~-3~n 10-29-7'9 ~ ~~?i~.~6
Place of Filing
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st. Lrds Cels!' Ca~IQ~~i^~~ Total = 1.717•
This certificate was prepared and signed at Jack ~~nvl lle, Plr,ri aA _ , on this.
the_.~~ day of November ,19 80
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Signature Title
t S ecial Procedures Staff '
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(Note: CMIt • of .r aut oNZed by la to take scknowledgments 1a not essential to the vatalrfy o/ Notice
Federal Tax Lien O.C.M. 26119, 19541, C.B. t25.) ~ P
Part 3 - To be used for recording purposes ~ Form 868 (Rev. 9-79)
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