HomeMy WebLinkAbout0582
- . ~~
Form 668 DePenment ot the Treasury - Internal Revenue Senice
1Rev. SeDtember i$7i3i~ ~e~#ific~#e o# Release of Federal Tax Lien =
~IStfICt Serial Number ~~1 ~~ fw Optional Use Oy Aecosdmy Oflics
~` AR 23 P~: 2 O7
J.ek~o.~.ill~ ts. - -
-- F~~rr er;r F~ cof,~~ :~
1 certify that as to the following-named taxpaye~, the requirements of section 6325(a) SL ~u~~f CoUV t r.l t.~.
of the Internal Revenue CodE have been satistied for the taxes listed betow and ROGER POl7Rr.5
for all statutory additions. Therefore, ihe lien provided by C~de section 6321 for C~ERK CIRCUit c~u:~t/~
these taxes and additions has been released. The proper officer in the oNice '' ^~ " ~ ~
where the notice of internat revenue tax lien was filed on ne~emher 2~rd ,
19~_, is authorized to n~te the books to show the ~elease of this lien for ~~~~5~~
these taxes and additions.
i~aitie ui i ~Nay~i
~ ~Obss'! ~ lttiti~ D~!/~itl~
Residence 2215 11 ~3ta stsMt
. Tt M~ses~ R. 33rS0
Unpaid Balance
Kind of Tax Tax F'eriod Ended Date of Assessment ~ Identifying Number of Assessment
(a) (bl ( (c1 N (d) - (e) ---
---------- -- -f- ----4-- - -- --
~ ~
io~a-~o ~eiz j 11-o3-so ~ Zu-~~~ss i,s~o.so
' 10~0-30 T912 ~ ~i-02-~0 ~ " lT.4S
I ;
I ?
~ i
I i
~ ~ ~ I
~ ~ ~ ~ _
Place of Filing ~~~ ~isroit Corrt '
St Lrtl~ Ca~w Cor=tlww~ `
« pi~tcs. n 33430 Tatal ; S 1~77i.2S
Th~s cert,`:ica~e ~vas t~repared ar,d s+yned at Jacksom~ille, F_la.__ __ ______ _____________ __ __-_ __, on th+s,
tne lE~th__ day of _~tarch___ 81 _______.
- - -- - - --- - -- ,- - ---- ------ --- - - - - - -- -- - -
Sicr,atuce ~ ~ Title
~
~
~ Chiefj Special Procedures Staff
' (Nute: Cer;~hca!e o/ ofLcor auMcrli^.~i b/ 'aw to fa~~i a~t~nowiedgments is not o• e~al to the va~~dify of Not+ce ol
Federat Tai l~en G.C.M. 2G419. t954t, C.B l25 ) ~~~ ~~i
8:"i~k'; ~, ;'~ Wi clt
Part 3- To be used for racording purposes Form 668 (Rev. a78)