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~ <br />fix, bd8 QEPARTi1ENT OF tF1E rRFA$URY_pJtEk'~At k.a'Ft.~~E SEkY1CF - Far Opnanaf Use By Reaanfing Office <br />(RE1j, 1 QTi } (,~~~ ~ ~~~ QF ~~L YJ~ ((/<~ <br />D3STRiGT '~ ~ <br />~ SERIAL NUMBER ~~~~ <br />~~ <br />- 1 hmstry oertifp that as to the following-nanred taxpayer the regvir of Section <br />~ <br />t. <br />d3~3(a~-ln~rnal Revent~ Cade, have been-satisfied with respect fo the 4axa eau- <br />_ <br />taeroted below, fogeNter-with a'.: statutory addhions provided by Section 6321; and j <br />that the-lien for such tuxes and statutory odditions has thereby been released. The <br />(traper officer in #tra office where noti:e of'iriternoi revenue tax lien wos filed on <br />- .~'~>~' 79 is hereby outkarized to rtio~e no±ation <br />ow hs books to show the release of said lie ,insofar as the lien relates to the follow- <br />. ~ <br /> <br />~~ ~ <br /> <br />cE ~ , <br />~~ <br /> UNFAID BALANEE <br />11 qND t'~ 7;~ TAX FFA90D fN{3ED DATE Op ASS~SSMEN7 IDENT1fYiNG NUMBER OF ASSESSMENT <br />tai (~~ i~1 td) ie? <br /> ~+~~ +.T3 4 ~ ~#!k <br />`yik <br />3 <br />i <br />(!~t <br />t <br />1*LA~ ~ ~~ ~ <br />~ ~ <br />TOTAL <br />~~~ <br /> <br />- - $ $~~ i <br /> <br />I <br />I <br />tAl my l9aratil rit ~}~~ ~t85~t8 <br />,~ 22nd ~ ~ February, 19~ ~ <br /> <br />.~ nTLE ~__._.._____ _ ____. __ <br />}d .Ehlers Chief, Special Procedures _ <br />~lF: CmtiFrcak al a{ficsc autfiorixezt by :cw to rri.e aci*xov:kxi~ra~ts a net esseN=~; i tv xhe .a ~:,>s ~>f the*~cs of fedyc: Tea Lien G.I.M._ <br />4~ ~- 1-St, t~-) <br />p1~T ~-~Q ~ 1f3Y~ ftt[ t i14N'~Oil~ <br /> <br />on Ntis, <br /> <br /> <br />