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__ <br />Form_ Sf~ Department of the `re flsury - Intemel Feven ue service <br />` ~ Certificate of Release of Fede~a! Tax Lien <br />(Rev. September 1876)( <br />C~ District '~ TSerial Number - --- For opunn•I use ey Recore;np orr;ce <br />Q16ei~a iT i 396? <br />j --- ! <br />~ 1 certifythat as to the following-named taxpayer, the requirements of section 6325(a) <br />~ of the Internal Revenue Code have been satisfied for the taxes listed below and <br />~ for atl statutory additions. Therefore, the lien provided by Code section 9321 for Q ~ ~ ~ ~ ,~ <br />f these taxes and additions has been relr)ased. The proper officer in the office C7 <br />where the notice of internal revenue 'ar, lien. was tiled an Decemher7 , <br />19 Rl is authorized to note the books to show the release of this lien for <br />{ these taxes and additions. <br />( Name of Taxpayer i <br />Da~sa asil 3as)a ltfestplaLns <br />dance 907 ltestfi &iwce3w <br />Ctaa1 Ialar+l~ 2ta6tMira Mt3aO1 <br />Kind of Tea Tea Psrlod Ended Oate of Assassmsnt 1 UnpsM t3atanee <br />ldsntltYlrq Number ~ of Assessment <br />w ray !07 ~ mr a) <br />1040 IZ/~l/al! 06/OllEl ~ 4E1-61-~Zi 2,OS4.51 <br />Plaoa at t~IMrp aasist~r d ~..t. <br />! ^a41f;"Cwat7 Tool = Z,flS4.5i <br />y CtRa~i tslaM, 11is~ta i8fO1 <br />This c"Mifl~ wtl preOared arW spned at Omaha , Nebraska _, on this, <br />ttw_3L~ day of Seotember,t9 82 <br />Siprupurr ( Title <br />s <br />s ~~""- Chief, Special Proce>iures <br />(N6Nc CeMrbMe d a/NC•r eurhpli•O Dy 4w to t•xe •cxnowlWplnMb is nor ••aentrl to rM vlxltty of Ndre• of <br />Fetlerer TeY Lien O.C.Y.2NtR /064 t, C.B. 123.) <br />Pert 3 - To be used for recording purposes Form AE8 (Rev. s~Te) <br /> <br />