HomeMy WebLinkAbout1716
t
F«~ ~g DENIQTNIENT OF TME TlEASl1~Y--MAERNAI lE~4NUE SEtVICE
;..~v. io-z~) CERTIFIUTE OF REIEAfE Of fEDBtAt TAX UEN
.~ k.~ SERIAL NUMBER
DISTRICT ~T;£~,ti~~~r,~.~,: 290619 bk-231 pse-1459
1 hereby cefify that os to the followin~-namod bxpoyer the requirements of SeNion
6325(aL Internol Revenue Code, have been satisfied with respect to the taxes enu-
rr~oted below, together with all statutory odditions provided by Section 6321; ond
thof the lien for such taxes ond stotutory additio~u hos thereby been releosed. The
pr o~er in th~ o~ice where notice 9f intemol revenue tax lien was filed on
~E er sra , ~ 9 ~~+ , is hereby outhorized to Make notation
on his books to show the release of wid lien, insofar cn the lien relates to the folbw-
ing taxes.
NAME OF TAXPAYER ~ j ~~
s • s s^~w.~s
RESIDENCE ;~ ~ ~~,~ ~~
~'!~r l~o~, ~. 33i'!~
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT
lal l~1 k)
~ ~t _ E~..~'~, ~•t~l~
'~fi~ ~-~1-T~ ~l~
PLACE OF fIIING ; ,` . _ ~ ~... ..,: , . .~
___.. :, ... . ..r ...1.'..e
M r.~.~ {1.
~i^l • ~ ~~~li~ V ~V I . ~
'r-` r _~r ' •.l .'F.~
' . i.. a ~ t - , i 'v~......
WITNESS my hand at Jackaonville, Florida
, on this,
~e .,3rd ~y of February , 19 81 '
~
StGNATURE ~ j n TITLE
Van E. O'Nea~~a7l/ . Chief, Special Procedures Staff
i (NOTE: Ce~tiFicafe of oificer aut ized by law ro to e ocknowledgmmts is not asential fo the validify of Nofice of federol Taz lien G.C,M
'~ 26419, C.B. 1950-S1, 125.) ~
& PART 3-To be vsed for recordin~ purpos~s s~~ ~~~~~
~ ~ ~
.~`.~.,..-~:. ~ ... w ~ ._ . -- _- _ ~w~~`~~~
~
For Opionol the Ay Recordng OASce
5~.~~
~981 FEB 13 IIM 1Q OS
ST.KIEU~~C.~~ jttASA•'
{~ERt( C1RC ~ 7
A~CORt±~'CRt~tl;- • - ~--_' ",
I~ENTIFYING NUMBER
(d)
9l~-1~i31~i~
516865
UNPAID BALANCE
OF ASSESSMENT
(el
~10~3+~
~JO~.
TOTAL S ~~i~.41