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<br />• Y~_ 4 <br />~~ C~~ oeparn^e:nt of tfteTreasury - tntetnat Revenue Service <br />(Rev. Sep,*errtber79?8)~ L3 trt C~9 ~ir>~~L Ui 3~w~1~~~~ i,F~ 8-ia kS ~/1 iv$ ~~.i ~ I~At <br />District ~ Seriat Number i For cpro~at use by ae«~•~:rs once <br />--- <br />------ ---- -- !- ---- ~~s ~i 79-. U ~ 3 5 ~ <br />i cerfify ftrat as to the foiiorring-named taxpayer, the requirements ofi section 63<<^5(a) <br />of itte in#ernai Rtxvon?te Dade have been satisfied fer the taxes listed below and <br />for a#! statutory additians. Therefore, the Tien provideu by Code sectian 6327 for <br />these taxes and additians has been released. Ttte proper officer in tt:e office <br />where the notice of intemai revenue tax (ten was filed an~nr; # ?b _ <br />t9 ~~ is authorized to note the books fo show the release of this lien for <br />theme taxes and additions. <br />i <br />name or taxpayer <br />s I <br />67Q@ni:@ <br />~ ~~ <br />- - - <br /> <br />K&ed ttt Tax <br />Cal <br />Tax Perbd Ended <br />G (bl <br />Date of Assessment <br />i (cl <br />' Identifying Number <br />+ (Ql Untlairl 118iai1C6 <br />~ Assessment <br />~ Cal <br /> ~j <br /> <br /> <br />jI <br />1 <br />~ i <br />i <br /> <br /> <br />~ <br />i <br /> <br /> <br />! <br /> <br /> <br />i <br />ria ~.~ ~ ' <br />~M~ tK ~I$3 Tote! +. t I~a~ <br />~~ <br />tt~~;t~as prepares 8~[9 signed af_ Cana. Nebrasita on this, <br />the-,:4th ~y~ June ~g 74 <br />x <br /> <br />D~trSld J. V `-'' i C~,ief, Special Procedures Staff <br />t1r7106 GRa~cat~ CI aHicr atNfrarab by ps Ia take acknuWJp6pmyits is not Otur-tier fo YAe vat:drtr or Notxe or <br />FN/Oerrat 7ta Ll~et 6:c.Y. 2Ai7Y, TC54 J, CB. 72E.) <br />Part 3 - To be used for recording purp~es Form f388 iRev. &7@) <br /> <br /> <br />