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<br />~~ L+~(~ _ D.e~D{artmsnt atptho T; easury - tntaroat Rovenue Service <br />;R®v_S:Dtarnher.79?El -- '1.:.'~r~~ri4#~ Q~ EB~i~~sS~.~~i ~~ ~~a~~er~~ ~~~ ~~e+~, <br />DislfiCt' ~ } Serial Number Fer Opiia al use by Aecoroin~ Orrice <br /> <br /> <br />tcerfifythatast©thefal!otiving-nameitaxpayar. the requirer~entsat section &3?5(a) <br />c# the frsterssa3 Revenue Code have hC:en satisfied-for the taxes listed iaelow and i <br />~r ~ staigtory sddi?ituas_ Ttsarefcre, tin- prcru~ed by_ Cade section n'}2t for j <br />the office <br />these fasces and additicns has beefs released. The groper ot{ic~er~ in <br />II <br />~ <br />the native of internal revenue tax lien was filed on <br />t9 is authorized to note the books to show the reEease of this lien far <br />tfaese taxes and additioass. <br />Name of TascF:a~er <br />I, <br />~• ~ --i <br /> r <br />> <br />i <br /> unpakd Bafatxs <br />Kfnd ~ Test Tmc Peticd C-ottad Date ~ Assesrsearat ~ fdentifying t3vmtrar ~ ~ Assexvsserst <br />~ <br />ts} tej r~~ ! rm red <br /> --- <br /> <br />+ <br />t ~ <br />t <br /> <br /> <br />~ I ! <br />I <br />i <br />~ ~ . <br />i .r-°- <br /> <br />3 <br />t~iace vi I <br />' ~ ~ 7via! ~ i <br />Ties eras ! arsd signed at Naha., t~phra c ka - _.._ ~- ----- . on this, <br />the lit ctBY rtf Fg~ ,19 Rt1 <br />~~ <br /> <br />aieit t51r4rtxAlr m alt~pr mkAOr'¢ae Dr »r m rsie aartw%sup+neaas n rrrt; nsanlw [n Ctrs vatc~Yey of Notice of <br />Fa~r+rit Tas Eien ;_C-Y. ?ffsiA :83Gi.=8. ; ~.7 <br />Pxt 3 - TO be+>sed for raeoedin0 Pm'P~s Form R~ tRev. t}7a3 <br /> <br /> <br /> <br /> <br />