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<br />Rdm Q~`Q' _ IJupnrtment of the Treasury- In:wnei Flevenue 5evice <br />tne><.se~:~,oerrs7a7 Cert~icate of Release of Federal Tax lien; <br />!District Senat Number ~ -- f ~~- ~~. ont o ar u:e ay R~~rcin4 onr~e <br /> <br />i certify thetas to the following-named tazpaye~, the requirements of section 632fita1 I <br />of the Intsmal gevenue Code- have been saris€ied for the taxes listed below and I! <br />for all statirtpry additions: Therefore, the fie[1 provided by Cade section 6321 far ((( <br />-these taxes and additions has-been released. The proper officer in the office <br />where the Notice of internal revenue tax lien was filed on April 16 <br />i9.~R_, is authorized to note the booksao show the release of this lien for <br />these !axes and' additions. <br />Name of Taxpayer <br />~ ~ ~ ~~ ~i~ <br />Ftesidertc~e <br />~ >~'' <br /> unpaid t3alanos <br />lUnd;at Ta: Tall Period Endetl pats of Assessment Identifying Number of As3essment <br />tel rb) rc) td) a <br />) <br />t <br />~ ~ t~ <br />~7sr ~ .~ ~~~ f~ ty~~ <br />+ <br />~ <br />•+~ S'1~.7+ <br /> "~ ~~r~ <br /> _ <br /> <br />i~ <br />1 <br />_.. <br /> <br />- ~. .::~ i <br />~~ <br />~~ ~~~ Total j S ?.jja-lf- <br />.. ...._ i <br />Thee £etRifsCate was prepared trtW signed at O2<taha, ~~ __^~_______.` . on this, <br />~ 39 ~yo# June ,i9 30 <br />ztme <br />o ers ~ CHief, Speczai Procedures <br />tN~c Cvtv7wte o! DiflG~t autAOrizen '3M raM to takr ackno+rirr/pmrnrs n no; B9srnl+rf to me >'aliQity of Notice ct <br />F~datM 7aa Limon O,£.Y. 26ir9 rssso-r, G.H. t2s.7 <br />Part 3 - Ta be used for recording purposes Farm 688 {Rev. J-7t77 <br />~~ <br />L ~ ~ J <br />I~ <br />