HomeMy WebLinkAbout0958~ -
~~~
Farm axe , OBMTYBIT OF TIB Tf1EAtIMY - sfteslst fa Opti~wfal Usf! Br Rsfwrriirp OHic+s
IIIEv.2-771 CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
DISTRICT - SERIAL NUMBER - ~~
~ 453 O1 3 3
1 heroby osftify that ss to the following-named taxpayer the requiroments of section
8326(x). Intemsl Revenue Cods. have been satisfied with respect to the taxes enu-
id
i
6321
d
d b
~ ~5
raw
: an
on
y sect
e
merated bsbw. together with all statutory additions prov vG
~ ~ 25
that the lien for such taxes and statutory additions has thereby been released. The
proper officer in the office where notice of internal rovenue tax lien was filed on
AuRUSt ~ 1913_. a hereby authorised to make notation FILED A p
A.
a~~PO1T~A
on the books to show the release of said lien. insofar ss the lien relates to the folbw- $
- Ipq~ ~T
i taxes. RECfRO yER~~p
NAME OF TAXPAYER -
a
~~
~ a
w ~ 509386
RESIDENCE
~f~i~ -
!~. *~w~i il~0
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lal Ibl Itl Idl Nl
- ~~ ~~~
-
. -`
-.,.
PLACE OF FIUNG ,,, ~ ~ ~ ~~
~~ ~ ~~ TOTAL S ~~
~~
WITNESS my hand at Jacksonville, Florida , on this,
~ 21st day of November tg 80
TITLE -.
Chief S ecial Procedures Staff
„r to mtrnts ~s not etsenbsl to tM vsldrty of Notice of FodrrrM Tss LHn G]t;~l
PART 6 - To bs used for recording purposes ~~4 PACE
;~-