HomeMy WebLinkAbout1364~
\
- •- -° ~ ~- ~- . ~~~'-- _ - - r ~ r - ~ , • - ..... -
. ~ ,
. •
Form 6~ ~ D~O~~msnt a tM Troasury - Int~na~ RwMw sKVica - ~/
(Rw.S~ptwnbKt978) - Certif~cate of Release of Federal Tax lien
°is~ s~' """'~ 51494~ Fw OWrond Ih~ by R~cordinp OfNe~
~~~ly~ ~ 491274 Bk 333 Pg 2995 1981 JAN 2T ~11 ~ 45 fi
~ cefity that as to the falowing-named taxpayer, the requirements of section 8325(a) ~~~it c~o RI~Y.F~A.
of the Intemal Revenue Code have been satisfied for the taxes listed be{aw and R POI RA
for all statutory additions. Therefore. the lien provided by Code ~ection 8321 for ~~~~I~uR COU~i
these taxes and additions has been relea9ed. The proper offic~ in the office {;i fvK7 ~£r1= ~~R_ ~
where the notice of intemai revenue ta~c lien was filed on June 30 _ ~
t 9~Q_. is authwi~ed to note the books to show the release of this lien for 5i4~~
these taxes and additions.
Name of Taxpayer
Mtt ~l,~s+M ~~ i s~!/~rst
Residence ~ ~~ ~
~ !l~q~ !6 ~S2 ~
Kind oi Tax
(a)
Tax Period Ended Date of Assessment
(b) fc)
7!!! ~2i-~
Identifyin~ Number
!d)
y!-OS7i~Tt
Unpaid Balaece
of Assessment
ls) •
~~T~~
Place of Filing
' C~y Ctw~lt twtt -
Tota~ i ~~,st
~ n r~s~.., R ~
This certificate was prepared and signed at
Jacksomiille, Florida
. on this,
the 19th ~y ~ Januarv ,,~ 81
/
Signature ~ Title
r a
i
Van E, 0'Neal/ _ Chief~ Special Procedures Staff
(Nobc C~rtHlut~ of offlc~r avt ai=~d Dy liw fo t~k~ ~cknow/~Opm~nts b not ~ss~ntla/ ro tM valldlfy W Notic~ ol
Fed~n! Tu UM ~.C.M. 2Mf0, 1~54f. C.B. 125.) B~I~~ ~~ tgm
f
Part 3- To be used tor recordiny purppSes Form 688 (Rev. a78) !
~.
_; .-. ., .
- - ==s ~ - ~ _ ,~:~ - -~.~4~ ::~ _ ~. _.,
_ ~~:~.::~_ .