HomeMy WebLinkAbout0960 `J ~
l
Form 668 Dopartment of the Treasury - Intemal Revenue Service
' Certificate of Release of Federat Tax Lien
(Rev. SeDtember 1978)~ ,
~IS~fICt -1-- Serial Number F.x Opttonal Use by Recordif:y Oflice
509391 6
J~onvill~. Florida o.Ro 344 PG 963 Iq83 1.~'`; I ~ t,;y ~~5
I certify that as to the following-named taxpayer, the requirements of sectian 6325(a) ~!C ~ C:?~r r-.~~
af the Internal Revenue Code have been satisfied for ihe taxes listed below and S=. tt~r.i~ Cr;.t
for all statutory additions. Therefore, ihe lien provided by Code section 6321 for
Ct f F'r: i:i; ~°t;~' ; -
tF?ese taxes and additions has been released. The proper fficer in ih office
where the notice of i~terna4 revenue iax lien was fited on $ecember g ,
19 80 , is authorized to note the books to show the release of this lie~ for
these taxes and additions. s~~~
Name of Taxpayer
: Richs`sd F. dt Diatr G. ~d~a~e~an
Residence $QQ6 Ji~s~ ~ip,~d
Fbl't pies~0e~ Flolida ~SO
Unpaid Balance
Kind of Tax Tax Period Ended ~ Date of Assessment ~ ldentifying Number of Assessment
I~ (al ~ (01 (c) ( (d) (e)
I ~ _1
~i , 1040 12-3l-79 Q9-~ 265-66-~902j 2.474.82
f
I M
f I
~
I I . I
~ ~ ;
~ ~ ~ ~
i i
- ~
~
I ~ ~
i
~ ~ ~
~ ~ ~ ~
s , ; ;
~ ~ i ~
~ Place of Filir~ C1aslt 02' the Cis~nit COUi-t i
: St. Ltacie Cca~mty Conrthouea Tota1 ` S 2+~7~•82 ~
Yos~E Pi~zoa, Florida 33450 j ,
Jacksonville, Florida
; This cer~ificata_ w.as prePared :~d sigr?ed at - on this.
t
~ :
~ the__5th-- dayof A_ ugzust _,19 83 -
~ -
; _ - - - - - i Title a - ~
~ Signature ; ~
A. W. Sendler i Chief, Advisory Unit
(NoiA: Cert~/rcaio of olticpr authorizetl by Jati to tako acknowloogments is not essenfiaf to tAe vali~,ty ol Notico ol
Fo~vrat TaY t~en G.C.1A- 26419. ~950-i. C B. 125 ) CS CCC 8-5-$3
Part 3- To !~e used for recording purGUS~~ F°~", 6S$ ~u~v 9-7R~
~ - - - ~ . _ . . _ _ ~:r ~ ~ = . . ~