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<br /> <br />c <br /> <br />Form <br /> <br />668 <br /> <br />Oepartmenl of the Treasury. Internal Revenue Service <br /> <br />Certificate of Release of Federal Tax li'n\ <br /> <br />~v. September 1978) <br />District <br /> <br />... <br /> <br />4L.-t! <br /> <br />I~ionol U.~'by RecoTdlngOll/ce <br /> <br /> <br />83-(i02:J4:5 <br /> <br />-, <br />I <br /> <br />Serial Number <br /> <br />I certil)ithat as-lo the following-named taxpayer, the requirements of section 6325(a) <br />Of the'l(1temal Revenue Code have been satisfied for the taxes listed below and for <br />all stattrtory additions. Therefore, 'he lien provided by Code section 6321 for these <br />taxes and additions has been releas&d. The proper officer in the office where the <br />notice of internal revenue tax lien was Utedon November 8 ,19-R. <br />is authorized to note the books to show the release of this lien for these taxes and <br />additions. <br /> <br />Name of Taxpayer <br /> <br />......,.. ......... <br /> <br />Residence <br /> <br />_":" n1r Aw.. <br />~ w...t. . 6Il!I8l <br /> <br />Kind of Tax <br />(aJ <br /> <br />Tax Period Ended <br />(b) <br /> <br />Date of Assessment <br />(e) <br /> <br />Identitying Number <br />(d) <br /> <br />UnPJid Balance <br />of Assessment <br />(e) <br /> <br /> <br />~ <br /> <br />oe-",.. <br /> <br />",....J:Q6 <br /> <br />U....91 <br /> <br />P~~e of Alil)jl <br /> <br />.; ~~lI1f:-- <br /><;- .....~~ lIE 6I1Ita <br /> <br />Total I $ <br />I <br />i <br /> <br />1.-.." <br /> <br />-\) <br />This certificate was prepared and Signed at <br /> <br />Omaha. ::iebraska <br /> <br />._________,__,on thiS, <br /> <br />the~dayol M~l' ,19---8.l__._ <br /> <br />J ~ff,~1 'cSi6J--T1 T~~~i~; spe-~~:~-proc(:ure-:---------- <br /> <br /> <br />,_/ . <br /> <br />(NQ,* Certificate 01 offlcel iJutho:u.ed Of law to t.;:.J(e ~cJin~w;wgments IS not €ssentlai to me ~'atl'Ji('I ot Noll{;f:! of <br />Federal Tal( Lien G.C,M. 26479. 195().1, c.a. 12-5.1 <br /> <br /> <br />Part 3 - To be used for recording purposes <br /> <br />Form 668 (Rev. 9,78) <br /> <br />u <br /> <br />L <br /> <br />..J <br /> <br />I <br />L <br />