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Fa~~; 6sg . pepartment of the Treasury - I~ternal Revenue Service
(Rev. Sebtember 197~ Certificate of Reiease of Federal Tax L~en
District Serial Number Fo~ Optional Use Dy Recording Qflice
5773~~6
J~st~~rfu~ BK 38 2 PG 178 3
l483 ~.f:~, 1 p Ap 9' 07
I certify that as to the foliowing-named taxpayer, the requirements of section 6325(a)
of the Internal Revenue Code have been satisfied for the taxes listed below and for : C e~;;
all statutory additions. Therefore, the lien provided by Code section 6321 for these ' ..'-`~~F c~
~ C7! r 1'f.t'r~.
taxes and additions has been released. The proper officer in the ofiice where the f Fx c;?;
notice of internal revenue tax lien was filed on Au~ust 25 , 19 82 ; ~ ~
I is authorized to rote the books to show the release of this lien for these taxes and
additions.
Name of Taxpayer
H~la~ G. Iiodgea
H ~s Caan~lsscoat Aida
Residence
S~7 ~%~ocgia ~ti?e.
F~ Pi~rC~ I'1a.
! Unpaid Balance
Kind oi Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
(a) (b1 (c) (d) (e)
' Q?~! 0~-31-81 12-0~"-81 59-17~791 27n5.6~+
f 941 Ob-~-81 ~ 1-23-$i N ~p
j 94~ 09°-3~-~1 1i-23-81 " ?.~02.8j
~ 941 12r31-81 03-?.'~$2 ^ iq06~ g~j
9~41 03-31-82 t)6-0?-$2 1732• 34
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¢ Place of Filing
C1~Y c~' ths tYrauit Can~! 1 ~
~t. Lucis t:aa~at~ Total S t~~47.92
Fc~t pia~ct. ~'I,a. 33~+9Q
This certificate was prepared and signed at lacksonville, Florida ,on this,
2 the 4~h da ~ of August 19 83
~ y
Sig:~ature Title ' ~
~ ao~
W. ndler Chief, Advisory Unit '
(Note: Cert~licate o~ fcer au orized by /aw fo fake acknow/edgments is r,of essen!~al fo the vahdity o! Noflce o/
Fed_ral Tax Lrer. ~ C.M. 26419, 1950-1, C.B. 125./ C3 CCC 8-4-83
Part 3- To be used for recording purp~ses c--..,-. ~~.g,:z. ; n;~-,
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