HomeMy WebLinkAbout97-02932
Form 668(Z)
(Rev.8.97)
Depertmenl ollhe Treesury . Internel Revenue Service
Certificate of Release of Federal Tax Lien
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Reflllng Aese8lment
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I certify that the followlng.named taxpeyer, under tha requirements of section 6325 (e)
01 the Internal Revenue Code h81 eatlslled tha tsxes listed below and all statutory
additions. Tharelore. tha lien provided by Code section 6321 lor thase taxes and
additions has been raleased. The proper olllcer In the olllce where tha notlca 01
Internel revenue lex lien wes lIJed on ,
, Is authorlzad to note tha booke 10 ehow Ihe release 01 thIs lien for
Ihese taxas and addItions.
Nama olTaxpayer
Residence
Kind olTax
(8)
Data of
Assassmant
(d)
Tax Parlod Endad Identifying Numbar
(b) (c)
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Place 01 Filing
This notice was prepared and signed at
the
day of
For Use b Recordln Dlllce
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I Title
(NOTE: Certificate of offlcsr authoriNd by law to take acknowfedgrr:ent$ is nor essential to thS validity 01 Certificate of Re/eBss 01 Federal Tax lien Rev. RuJ. "-466, '971-2 C.S. 409)
PART 1 ' RECORDING OFFICE
Fo.m 868 (Z) (Rev, 8.97)
CAT, NO 800281
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