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<br />F~. <br /> <br />Department of the Treasury - Internal Revenue Service <br /> <br /> <br />(Rev. $eptern_1978) <br /> <br />CertKicate of Release of Federal Tax lien <br /> <br />DJst$:t <br /> <br />Serial Number For Optional Use by',Recor:ding OffiCe <br /> <br />--" <br /> <br />41 41591 <br /> <br />l~fytf1ilt as tothe following-named taxpaY$i". the requirements of section 6325(a) <br />of tne Internal Revenue Code have been satisfied for the taxes listed below and <br />for 1\11 sta!UtOlyadditions. Therefore. the Iien<provided by Code section 6321 for <br />these taxes and. additions has been released, The proper officer in the office <br />where the notice of internal revenue tax Iienwas filed on September 2 . <br />19..&L-. is authorized to note the books to show the release of this lien for <br />these taxes and additions, <br /> <br />Name of Taxpayer <br />~_..- Sa..... I~'" <br /><a - - ) ......- <br />Residence <br />911...~ Pal .... PoH Ott1ee Box 1.42 <br />........ <br /> <br />83-U01408 <br /> <br />KInd of Tax <br />(0) <br /> <br />Tn Period Ended Date of Assessment <br />(b) (e) <br /> <br />Identifying Number <br />(a) <br /> <br />Unpaid Balance <br />of .Assessm8IIt <br />ee) <br /> <br /> <br />0)-)1-'2 <br /> <br />~2 <br /> <br />BMF l.7-0SS1449 <br /> <br />1'11"'" <br /> <br /> <br />f'IaSe of Filing D___ or .... <br />~-ot Ball <br />QNIId. 1.1 and , .......... 6StI01 <br /> <br />Total $ 771.44 <br /> <br /> <br />Jhis certificate was prepared and signed at <br /> <br />Omaha. Nebraska <br /> <br />. on this. <br /> <br /> <br />83 <br /> <br />I Title <br /> <br />Chief, Special Procedures <br />(.... Certificat. 01 orHcet autbOrlz" by ill. to fag "Mowledflments ja not ...ent_ to 'he ",.lidlty at Notice ot <br />_ T.. u... a.c.AI, _tll, 'MO-', C.8. 125.) <br /> <br />Part 3 - To be used for recording purposes <br /> <br />Form 688 (Rev, 11-78) <br /> <br />J <br /> <br />L <br /> <br />~ <br /> <br />L <br />