HomeMy WebLinkAbout96-02388
Form 1I118(Z) Dapartmant olth. Traaaury . Inl.rnal Ravanu. Servlca
IRov,8,STI Certificate of Release of Federal Tax Lien
Dlatrtct Sarlal Numbar For u.. by Racordlng Ollie.
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I certify th.t the lollowlng.nam.d t..pay.r, undar the raqulremanta 01 .aellon 0325 (a)
of the Int.rnal R.v.nu. Cod. hit Itll."ad tha t.... lI.tld below and .11 .t.tutory
.ddltlon.. Th.refore, tha lIan provld.d by Cod. ..ellon 0321 for tha.. t.... .nd " ',--'
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.ddltlon. h.. baan rel...td. Th. proper Ollie., In the ollie. whar. the nollca 01 .
Int.,n'l rev.nua IIx IIln w.. fll.d on - , 'I;
, , la .utho,lnd to nolo tha book. to .how tha r.I.... 01 thl. lI.n lor
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thl.1 t.XI. and .ddltlon.. ~ . -j
N.m. 01 Tftxpayar ,
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Re.ldenell .", -',
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tl5,DOtd
'j I U_'-,~ 1~:l.";l31
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K" lD'i 5 33
Kind ofT.x T.. Period End.d Id.ntlfylng Number D.tlof L..t D.y for Unp.,d 1.I.nCl of
(I) (b) (c) A.....m.nt R.llllng A.....ment
(d) (I) (f)
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PI.ca of Filing
Tota' S
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This notice was prepared and signed at
. on this.
the
day of _____ . ___'
SIQnatur<ll1 Title
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(NOTE: Ctlrllr;Cdr~ Of V"'CRf jIIJtho"~tfd by l/iw 10 'ilks scIf,1I0w/lldlimt1nrs lit not tls~fmlllJl to /he \ljJ/iliif'y of CertiliCRttJ of As/e,u, of Federal Tax I/.n ,Iii.v. Rul. 71-466, 191'-2 CS. 409)
PART 1 . RICORDING O"ICI
Form M8lZllRov, 8,117)
CAT, NO 8OOlI81