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<br />~ v' <br /> <br />Form 668 DEPNiTMEM OF THE T¢E.V'TIRY-INTERNAL REVENUE SFkYICE For Opfionol Use Sy Recording Q(&ca <br />{REY. lao) CERTIflCAPE ~ RELEASE of FEDERAL YAX 11EN <br />DISTRICT SERIA! NUPABER <br /> <br />I hereby certify that as to the following.named taxpoyer the requirements of Section ~~~ }1 ~t ~ ~ ~'~ <br />6325(a}, Internal Revenue Code, have been safisfied with respect to the taxes enu- <br />merated below, together with all statutory additons provided by Section 6321; and <br />,, thot the Lien for such foxes and statutory additions has thereby been released. The <br />proper affieer in th~lwhere nofics~gf interne{ revenue tax lien was filed on <br />19_, is hereby authorized to make notation <br />on his books to show the moose of said lien, iruofar as the lien relates to the follow• <br />ing taxes. <br />NAAAE Of TAXFt4YER <br /> <br />RfSlDftdCE ~~~ ~ 3~ <br />~ k <br /> UNPAiD BALANCE <br />KIND CtF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIhYING NUMBER OF ASSESSMENT <br />{a} (b) I~} fd) le} <br />fat ~ T~ 3-13-T2 16?'~EilEt $ 32.35 <br />9~2 T~Qi 9It~-rf2 4T-t~/41s! 8~'t.~i <br />9143 T~'4 3-14-Tz 4T~7t,30 742.T5 <br />!it TI33 3-1t~T2 ~-9-~-tt9'W~ 918t>.3S <br />PLA£E OF s <br />TOTAL s ~~~ <br />"~'~' x <br />V~fft~~my hand a! Omaha Nebraska , an this, <br />~ 11th dvyof July , ig 79 <br />(3Tief, Special Procedures Staff <br />(t~T'E: Cerieficax ~f officer nusharized by taw to lake xknowf~gmenis is net essent~ol !a !ne val~dhy cf Noti<e of Federal Tax Lien G.G.M. <br />2dti9, C.B. 1950-51, l25,j <br />PART 3-To be used fw recordirrp purposes <br /> <br /> <br />i___ <br />