HomeMy WebLinkAbout1868 ( " ~w-- t~- a.-- ! .~K-: ..s._.... v~..~~ T ~ .r- - ~ - ~ - - ' . - ` ~ ~
( ; . e _
~ fo~ G6H DEP/1RTh1ENT OF THE TRFASUP.Y-WTERNAI REYENUE SERIICE Fo~ Optionol Ux By Recordir,g Offte
- ~REV. ~ a~ ~ ~ - _ ~ CfRTtNCATE OF REtEASE Of fEDHtAt TAX'UEN :
: ~ISTRICT ' ~N~~ .o SERIAL NUMBER A
_ _ . 28902$ Bk 230 Page 2t12 ~~~U.~~E;~,q ~~'y~'
~tbt~tfi P~iJ$A,~
( hereby certif~ ihot as to the following-named taxpayer the requirements of Section ~~f ~x CtfiCU1T ,Ep~
: 6325(0), (ntern~l Revenue.Code, have 6een wtisFied rr;ith respect fo the toxes enu- . RF~'~P~ YEFIFIFD,~~~ - ~
merate~ below, fogether with oll statutory addition~'provided by Section 6321; and
- that the lien for s~ch taxes and statutory additions' has thereby been releosed. :The ~ Q~
- proper Ruce~~ t~i~ ofiice where notice~$f internol revenue tax lien was filed' on r
g , 19 , is hereby authorized to rriake notntion _ }a
on his books to show Fhe ~elease of sc~id lien, insofar os the lien relates ~o the follow- .
- ing taxes. - • Y
_ OF T P~YE~ ~ I~Ofri~~ P ~ ` _ - _ -
R
~ ~
RESI ~ ~ ~C$~'? ~ _ .
_ ~ ~`~4~3''C~* , ~ . . . ~
UNPAlD BAIANCE
KIND OF TAX - TAX PERIOD ENDED DfaTE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT .
t°) (b) (~1 ~d) - ~eI
9+~ ?3-09 0`T•01-T~ ~9~-~.~i2!i~38 a ~i.b7 ~
943. 73-12 {~~74 . 39-i~?!,~E38 ~5, 8G
~ 7~U3" 4b-2~-~74 5~-~~S~SE Xl~3, ~1
'i - v - - .
_
PLACE OF FILING SL LU~jE (~O~~TY
fORT P~ERCE, ROR~QA TUTAL $ ~$c~~,~ _
_ WITNESS my hand at Jacksonville, Florida - - on th~s, ~
the LSth day of ~v , 19 75 ~ - -
StGNATURE ~ - T1TLE
~ Jack Duran ; -Chief, Special Procedures 3taff .
~(NOTE: Certificate ' f offi er outhorized by !aw fo tak.e acknowledgments i, not ess~ntio) to the votid+ty of Notice of Federal Tax ~i~ G.C.M
~ _ 26419, C.B. 1950-4.5~" 1 ~ ~ _ _ "
` I . PART 3-Ta be used for recording purpos~~~
; - -