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<br />I <br /> <br />,~,,~'. <br />Fo;nf 668 I <br />(Rev. $"Pl-' 1978jl Certificate of Release of Federal Tax lien <br /> <br />~_3____~_]s.,.:"m'o<__: ~__~~f "~~--."-,-,~ <br /> <br /> <br />I cerlifyt~tas to the following-named taxpayer. the requirements of section 6325(a) I <br />of the Internal Revenue Code have been satisfied for the taxes listed below and I <br />for all stafirtory additions. Therefore. the lien provided by Code section 6321 for I <br />these taxes and additions has been released, The proper officer in the office I <br />where the notice of internal revenue tax lien was filed on Apri 1 7 . <br />19-1\!L.;.. is authorized to note the books to show the release of this lien for <br />these taxes and additions. __'_______, I <br /> <br />Name of Taxpayer I <br />~~b..4I1J_ I <br />,. tiP. Bell I!'~ . <br />Rellldence ' <br />~ RoI'ttl ... Boed I <br /> <br />Department of the Treasury. internal Revenue Service <br /> <br />83.-l1{) 0 2'7 26 <br /> <br /> <br /> Unpaid Balance <br />KIncl of Tax Tall Period Ended Date of Assessment Identifying Number of Assessment <br />CO) (0) (c) Cd) Ce) <br />9U-01 7906 oll-oT-80 I 1JIl' f+7~ 1,1)9.74 <br />t\1 - 01 'l'999 o-..ar-80 .!Ii!' 41~ 912.4' <br />9U-0l '19l2 011-01-80 alP 47~ 1,643.47 <br />tItO - 10 7912 011-21-80 lJIP f+7...1J5f1'rJ22 489.38 <br /> <br />L <br /> <br />I <br /> <br /> <br />~Filing <br />~Nt.- of ~ <br />~~ <br />:~~:, ~"'t"~~-'" ..~_...._- <br /> <br />,- <br /> <br />Total 1$ 4,785.08 <br />I <br /> <br />1~ ;:i~ ( <br />T~rtiMte:W8s prepared"and signed at_.._ilmaha..-..:c Nphr""\<,, <br />",:;) . <br /> <br />_____.___________.______._, on this. <br /> <br />t~ day of M"y <br /> <br />,19 1<3 <br /> <br />--"-----[-'1"1116.------,.,.,'-...,-------"---'-----.------,,--- <br /> <br />I Acting Chief, Special Procedures <br />~ Cwtitlcate 01 ottk;er authorized by Jaw '0 taka acknOwledgments is not tlssontiai to tho ~'alidilY of Notice of <br />Fedetel Tax l.ien G,C.M. 264H). 1950.1. C.B. 125.) <br /> <br />Signatu.&:eJi> -.,-. '". ,,>1...--:;------- <br />Pl~L-r "-(.u;t6h./ <br />Robert Wilson <br /> <br />Part 3 ::- To be used fQl' recording purposes . <br /> <br />Form 668 (Rev.Il-78l <br /> <br />L <br /> <br />L <br /> <br />J <br /> <br />-.J <br />