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HomeMy WebLinkAbout0016 ~ ~ , .Y . : _ - . • . : . . . __".1 ~ ' F~rm 6b3 GfPARTMENT OF THE 7REASUftY-INTERNAI REYENUE SEWKE • fror~Oj.l;onol Use By Recwd,ng OHke . t~E~ ~-~~l CERTiHCAT€ Rf R~LEASE Qf DERAL TAX UEN ~~i.ca x~~.~ kECOH0E0 ~ - T. lUC1C GOUpTY f~A. E' DISTRfCT J~~r~~ ~ SERI.AL NUMBER ' RpCc(+ F~;TRAS . . I _ 296323 R?.34 F 472 C~~Q?, c~~:CUiT CouRt I hereby ce~tify thot as to he follawing-named taxpayer the requi~ements of Section RF~Cf~°: Y~~-;:=1Fp - ~ 6325(aj, Internal Reven~e Code, have bee7 sotistied with respect to the taxes enu- ~ ~ - nseroted belo~•, together with oli~~tatutory additions prot~ided 6y ~ction 632i; and ~p 1~ ~~i75 - that the lien for such taxas and statutory additic~ns h~s ther~by. bee~ released. The _ prop of~icP in t office where not~ce f infiernal revenuQ tax lien wos filed on - ~avei,~ier ~~tn , ~9 , is hereby authorizec~ to maice notati~n ' ' _ on his boolcs,ta show the reteose of s~id lien, insofar as the lien relates to the fotlow• ing taxes. . . NAN1E GF TAXPAYER ~ - ~ t30~Idl~t . . ~ - ~ - I RESIDENCE ' ~ # ~'w ~ ~ - ! - UNPAfD BALANCE KiI~D OF TAX TAX PEFJOD ENDEI~ ASSESSMEhT DAT~ IDENTIFYING t~i1MBER OF ASSESSlv1ENT - (a) (k~~ " ~ IdI , (e? 1~0 12..:l3~..~ e'~-2?-7'~? - 1~'' ..21~a6'3~' 2+ 0~7 •?0 . - ~ - - - - - - ~ ~ ~ . - " - - . - . I . - - - , _ - _ ( ~ . ~ ~ . . ~ , 1 . ~ - - ~ PLACE QF FiLING J ~ - _ ~ . - i . _ i - (;~~tk. CirGtti~ G~i?r4 fOYAI $ ,~r!'~~'~'(j ~ vt. ~,t~Ct13 ~.lfit~f : ~ ~Qtt PiPtCe, ~itsrkla - ~ I - . WITNESS my hond at " , on this, ' the _?.5.th__ day of •~~,tri L , 19 7~ - " . - ~ SiGt~1AiURE 71TZE (1zR PflGE - . _ Bt~OK ~ss~.r . .78zk Durane' " ~ , - ~ - ~ _ ~NOTE: Certificate of offi autl~oriz d by IQ,er 10 1o~Ce ocYcaowledgmen's is not essential .a t!w v~ ~~ry o: +!o?ice of federol-Tax Lien G.C.M. 26419, C.B. 1950-51, ~ ' F.T. . - : PART 3-To be vs~d for rstordi~g purpo~es _