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HomeMy WebLinkAbout0923 . . . . . . _ ' . . . _ _ . .t _ y ~.v~r-r ~.~.~r.:~ _ ' ~a 'tr~ _ - » ' ' ' ~ . " - . . , . , . - . , • . . ' . ~ , ~ . . - . . . , . . Fonn 66A U. S. TREASURY DEPARTMENT - iNtEart~t PevFNVE sEavtr_E ' . ' . _ (REV. NOV. 1961) a~(~9'~'~~ CERTIFICATE 4F_ RELEAS~ OF FEDERA4__TAX LIEN- ~ . ~~Formeily Form 669) ITo b~ ~std fo R~leose Tax lien• unde~_Sec?ioo 6325161,.1.R.C. of 14511 • : - DISTRICT . ~ - - ~ S . . , „rt~,acs; ~ o.`~ R. _a~c. ~(v I 7 ~ 124939 i c r~ . . . . ~ . : . , . - I F~ereby certify that ~s to the following-named tazpayer the requirements-of Section b325(al,- Internal ' - Revenue Code~ yf 1954, have been sQtis ied with respect to the taxes enumerated below, together wi#h ~ all statutory-additions provided by Section 6321; cand that the (ien for su~h~"tdxes and statutory_additions ` has thereby been released. The proper offKer in the .of~ice where notice of internal revenue tax lien • was filed on~ril '14, ~ 19~~ is he~eby authorized to make ~notation on his books to show _ the release of. sciid lien, insofar as the lien `relates to the following taxes.~ ~ NAME OF TAXPAYER ' • • - ~i - ~ - _ i RESIDENCE OR PLACE OF BUSINE55 _ , • ~ ~ ~ - . _ - TYPE OF TAX AND PERIOD ASSESSMEM DATE REFERENCE ,NO. ~OUNT OF_ _ (al ` '(b) - - ASSESSMENi - ~ (d) _ . _ F~a .ll~~+~? !~3 w 9 ~ !~i?~'~ - ~ `-~~i4 . ~-+i~t-4~M _ - - _ . _ l~s 22~ ~l~~ iw 6~ 1~?!~ ~ - - . - - _ . _ _ ~ - - _ - - - j. " _ . i~ RU~C~ CP UM ~ ~ - C 4 ~i~ ~ CLEtiK CIRCt11i COiiRf _ - - ~ ~ REvORO YERIFIED.,.,,sw~. . ~ - - ~ ~ a1 ~ ~ ~~d - _ . ~s'~d.~ O~Ti _ ' r ~ - ~ ~ - f - ; Sts ~ TOTAI S 1~~~ ~t~ ?1~~~! - - _ " _ WITNESS my hand at ~ Jacksonville , Florida an this, _ the $th• day of December ~r~ 64 - - . _ ~ ~ISTRICT DIRECTOR OF INTfRNAL REVENUE _ BY Sigr,ature) _ . TITLE j ~'CGA ~ ~ ~ _ ~ Chief - . L ''~l ' Procedures Section (t•:OTE.~rtificate of officvr ovthoriud by law to toke ocknowfedgmenb is rwt essentiol tu the validity of this dotvme,,nt.RG. ? 119, C.B. 1 0•1 125.) ~ - PART 3- To-be usec! for recording purposes _ 5~~~ - i f- -