Laserfiche WebLink
t.xrn 668 OEiAETA1ENT of THE iRE+lR1PY-e+rpa+a REYfNUE srirncE for Opliorw/ Ure Br Recording 07fict <br />~ - <br />~lrEV laoi CE~tT~tGTE Of OlElEASE OF EE~t101 TAX 1~! <br />DISTRICT SERIAL NUMBER ~~j <br /> <br />~ /t <br />~~~~ ~ 4 ' <br />~ <br />foltowing~narned ta~c{rayer the requiremenh of Section <br />herdfy that a 3 <br />6e25(a}, ln#emoi Revenue°E:ode, have been satisfied with respect to tfre taxes enu- <br />ttutrated below, ta~7etfier wiNr all statutory additions provided by Sedion 6321; and <br />t1±at the"lien for such tuxes and statutory additions has thereby been released. The <br />proper officer irDt~i~v~+ere noticF2of internal revenue taz lien was Bled an <br />19-; it hereby authorized to hake notation <br />on his books to show the release of said lien, insofar as the lien relates to the foUow- <br />irtp taxes. <br />NAME Of TAXPAYER <br />~~ <br />RESIDENCE <br /> <br /> <br /> UNPAID BALANCE <br />KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER Of ASSESSMENT <br />la) (bl k! (dl (e1 <br />i!~ la' T+++'3~fi 8*+1 .~~.21I ~r~,t~ <br /> <br /> <br />n.ncz >x nutty <br />~ TOTAL t <br />4LtffT+~SS rtry hood at Daahae Nehra=tra , an tl+s, <br />~:_2.~~dalr of 3~rne , 14 7a <br />SIGNATIaitE (`~„1L ~ `~~~ ~ TITLE <br />Doxtald ,I. Ehlers tw Chief, Special Procedures Staff <br />(NE)TS: CerHTicde of officer authorized by Iaw to take acknowledgments is not esentioi ro the validrty of Nonce of federal Tox lien G.C.M. <br />26119, tw8. 1950-51, 125.) <br />PART 3-Te be used for recot~np PdeP°s•f <br /> <br /> <br /> <br />