HomeMy WebLinkAbout97-01537
Form 668(Z)
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Depertment 01 the Tre8lury . Inlernel Revenu. S.rvlc.
Certificate of Release of Federal Tax Lien
DI.lrlcl
S.r181 Numb.r
For U.. b Recordln Olllc.
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I certify Ihalth. followlng-n.m.d t.xp.y.r, und.r Ih. requlr.manl. of IIctlon 6325 (a)
01 Ih. Int.rn.1 R.v.nu. Cod. hBl utl.'led the taxe. 1I.led below end ell .tatutory
.ddltlon.. Th.r.for., Ihe lien provided by Cod. ..ctlon 6321 for thBl. I..BI .nd
.ddltlon. h.. been r.I....d. Th. proper officer In th. office where the notice 01
Intem.1 revenue IIx lI.n wa. flied on
1 '." ,I. eulhorlzed to nol. th. book. to .how the releBle 01 Ihl. lien for
Ih... IIx81 .nd .ddltlon..
Heme olTaxpey.r
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La.1 Day for
Reflllng
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Unpaid Balance of
A....emenl
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Kind of Tax
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Tax Period Ended Idenllfylng Number
(b) (c)
Date 01
ABleaamenl
(d)
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Place of Filing
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Total
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This notice was prepared end signed at
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the
day of
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Signature I Tille
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(NOTE: Certlflcat. of officer I(uthorlzod by law to take ackllowftJdQlfl.nt,I. not .u.ntlal to the validIty of c.rtm~t. ot R.,.,,. of FId'fll7ix lI.n RIV. Ru/, 1t-4~6. 'in., C.B. 4()g)
PART 1 - RECORDINQ OFFICE Form 888 (l) (Rtv, 8,U7)
CAT, NO 800281
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