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Form 668 (Z) Deportment 01 the Trenury . Internel Revenue Service
(R.., 5-9.) Certificate of Release of Federal Tax Lien
District Serlol Number For U," by RICerdlng OlllcI
1:1", /1 u,'..q-.lt.-\ I ~ ,',l,., "
I cenlly thet as to tha following-noma taxpayer, tha requirements of secllon 6325 (e)
of the Intarnal Ravenue Coda hava baen sallslled for tha taxes lilted below end for
ell stetutory addlllons, Therefore, the lien provided by Code lecllon 6321 for the.e
taxes end eddltlon. has been releosed, The proper olllcer In the olllce whera the e' ~ P?,
nollce of Internel ravenue tax lien was flied on I' c' t, " '.1 ,,' . .,. ,"" ,- ::.:s
'. -, -,,:4
19 ---' I. In authorized to nole Ihe booka to .how the relea.e of this lien for 1]. "-1
these taxes and addlllons ':J 1(.11
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Name of Taxpayer ..
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Residence ~ - - .~) (
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hiEC H/\ ~j l~: '3l? L'F~' 0 ! P ;! ll' }l-:.!~ ~.1 ~-:c:~~ - ; '0 -<
(',DUR"l RECOP[IItI'3 I ;',IF ClRI'IPd I DJ>.!, id5.o.:::>(d
L It.ll'" P'I'.Ie Lh:( i'lu, '~e t' 1 ~\ 1 Ilu. c...-.tI \~~'WO
r~ / ;:, "1/ ~) ~'l'/ ::;l '.35-10'20 i=TL r'-JI. L\~30D
Tax Pc/lad Dale of Last Day for Unpaid aalance
Kind of Tax Ended Idcnlilylng Number Assessment Reflllng of Assessment
la} (b) (c) (d) (e) If}
1,).q.l) .t::/3l/93 2\)7---C)'l-13ll-'::; .!.. 1(1:,,"1'3/34 l!/<J:~~/()f-+ 8/61.67
.j". T":' ;. * Ir j. -It. It 1'.. *i**!r*~*~ ...*~.;...;.. -!I..... **~~.,lo '* . *.....**1r?" ,..,\._;**,*v.*#;Ir*; .;.*~-*"It..*/> Je-.*A**
Place of Filing
f'.'--utl":lnLil d1' \' Total $
C ulllt'er' 1 ;Jtl,J C iJ s...1~1 t '/ 87'~1.61
(ar~ i 1 :- 1 .}: . F 1\ ':")(lj,.3
,
This notlc& was prepared and signed at
~'j 1::. I:, ( , ~ 'j: I 4 '"
. on this.
... \
the C,' '" ' day of
j;;\nu_' . J'
"-..17
.19~.
Tille
Slgnalure
~
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(NOTE: c.n.f."".. of olf,'O' ,u'hO,,,"" Oy I.JW fO '." ,1('"0.1."9""''''''' "01 .....,'."0 'h. ,.hd>/y 0' c.n,''''''' 0' R.,..,. of r,'CIti<a' r.. ..n Rev, Rut 71"lliS, 1971,2
C 8 409)
fART 1 ' RECOR01HG OFFICE Fonn '" (Z) (ROY, &-~)
CAT. NO eo<l281