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<br />_,, ~: _ oeparrment W the 7reasuN - SmornaL Revenue service - <br />;; <br />sw <br />s <br />p Cer~~e of Release Qf F~tleral Tax Liefl <br />t.n>aet, <br />,rat <br />rR <br />. <br />e ~ <br />(yStFiCt -,- Serial Number - For OprlMN1/asby ReCOMing'aRtee- <br />p)~~~yt <br />~~ <br />~ - _. - <br />i Ceriifythat as to the toilawing-It8tlted taxpayer, the requirements of section $325(a) <br />p <br />of the Internal Revenue-Code have been satisfied. #or the taxes listed below and ~7~_R. , , a, <br />-tor all statuta[y,~ddltions. Therefore. : the liet--pratrided by Code section $321 [or {~ ~~ ~ ~ w <br />these .taxes. end-additions has been releas8d. The Rroper officer in the office <br />where the notice of intemai revenue tax lieu``waa filed on Octofier 14 <br />19_gy.,._. is authorized to oats the books-to show the release of this lien far <br />.these taxes and additions: <br />~ Name of-Taxpayer - - <br />} <br />1 <br />Residence <br />~~ <br />y ~ ~1 l~iFt93 A t~~ <br />f Unpaid Balance, <br />[ Kind of tax Tax Parbd E~sd OsEe of Ass~smsnt identifying Number of A>nt- <br />I! <br />ra rm rw ray ra <br />9~I~. 7912 G~-22 8f~ $~iP' ltd-•61123.1 ~2~9 <br />'~ <br />~ <br />~~ <br />~ ~ ~ X <br />&~~ <br />7 9 <br />~. <br />~ <br />€ <br />g4 E~9 - <br />7 @ <br />'~r7,/Ql 26Q12 ~}-ib-~1 P' ~.?~2.13~21 2~.$€! <br />~~1 2636 Q'~ i2-~2 ~~ tr'~132331 9'.+1.9 <br />9~~. $lv9 ~=32-$2 ~ 4'76131312 9i: <br />~}!@~. 26132 tit-~12~ 2 ` 47-~~.1I31~. 9.~.9+t <br /> <br /> ~ 2 i-26-82 ~^F 4?-$3,2313 ,~E2~~~~! <br />[I <br />I <br />f --~ I <br />Pfaae of !• r1Mg <br />' ` #~ <br />i <br />~ Total = i~1~s~ <br />s ~~ <br />This Cettlficate was prepared and Sigfled at Omaha r Nahrack a , On thlS. <br />dayof ,19 <br />... tWebK CnHMpne of euxear auMor4W br !aw ro take acknowiaOpmanta is not asaantMt ro rna vatklAy of NWtCa m <br />. - Fau..rr tar i.lan O.GY. t6ar4 rasa.r. C.a- tFa) <br />Pmt 3 - To tae used for rocording Purposes <br />Form $tl8 itiev. 9~78t <br /> <br /> <br /> <br />