HomeMy WebLinkAbout97-03772
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Form 66B(Z)
(Rev B.~m
.'1.
Deportment 01 the Treasury. Internal Revenue ServIce
Certificate of Release of Federal Tax Lien
oislrlct
Serial Number
For Use by Recording Olllce
PEf'J!'I::,{I~ \1,HI'll u
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I cerllly that the following-named taxpayer, under the requirements of section 6325 (0)
01 the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therelore, the lien provided by Code section 6321 for these taxes and
addlllons has been released. The proper olllcer In the olllce where the notice of
Inlernal revenue tax lien was flied on I,., I" ! 1 ,
1 q.... . Is authorized to note the books to show the release 01 this lien lor
these taxes and additions.
Name olTaxpayer
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Residence
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Date 01
Assessment
(d)
Last Day lor
Rellllng
(e)
Unpaid Balance 01
Assessment
(f)
Kind of Tax
(a)
Tax Period Ended Idenlllylng Number
(b) (c)
t '"'4(' t? I~.:..! 1/1 '~9 t '2( 14 - '31 \n~~;'-? ,f-?
1'"1411 12/?11]~~3 2n4-~(1-63n9
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(l!3' :'8/ t I.:="~l-: (j(-7Ii,? ';< (~\'lf II:
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S2~3.24
38~'6 ,"1
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Place of Filing
Pt'- I'll' I. '.... n'''' r '.t~\,
(~',l'llh..~r'l :,~'l'! " ql~'lj-.\I
('::~r ll:;:; 1 P. f.'n 1'''''1::''
Total
s
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This notice was prepared and signed at
PI i i-' hill-'ll", F 1\
. on this.
the
/1(-:t.I, day of t::pf,t"l):..-.
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Signature
I Title
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(NOTE Ci.',MK',l/P 01 o'flCer ,lutf1orllt'd tly 1.11\1'01.11,;0 dcllnowlecJgments IS nott'ssentl.1l to lno ~.,lll<1'tr:ll CertlflCiHo of Rt'leaso 0' Fedt>ral Ta~ lion Rev Rul, 71.466, 1911.2 C.S 409)
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PART 1 . RECORDING OFFICE
Form 668 (Z) (Rov 6.97)
CAT. NO 600261