HomeMy WebLinkAbout95-03501
Form 66Sll)
CR....IHll
D.partm.nt 01 the Tr.88ury . Internal Revenu. Service
Certificate of Release of Federal Tax Lien
DI,'rlct I S.rl.1 Numb.r
I eerllry Ihet the lollowlng.n.med I.xp.y.r, under 'h. requlr.ment. 01 ..etlon 6325 (.)
01 the Inl.rn.1 Revenu. Cod. h.. .atl.lI.d th. tOXBl lI.ted b.low and .11 .t.tulory
.ddltlon.. Ther.loro, the lI.n provided by Code ..cllon 6321 lor th... tue. and
.ddltlon. h.. be.n rel....d. The proper ollleer In th. olllc. where the notice 01
Intern. I r.v.nua t.x lien w.. lIIed on ~ ,
, I. authorized 10 note Ih. book. to .holV the rel.88a or thl. lI.n lor
Ihele tua. .nd eddltlon..
Name or Taxp.yar
For U.e b R.cordln Olllee
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Re.ldenee
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Kind olTex
(0)
Tex Period Ended Identifying Number
(b) (e)
Dete 01
A..e..ment
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C" " \.\,J I, 4
f.. U Su
Le.t Day lor Unpaid Ballne. 01
Rellllng A.....ment
(0) (f)
PileI 01 FIling
Total
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This notice was prepared and signed at ____o__________
___ , on this,
the
.. ___ day of __'0..
.. -______ t ._____.
Signature (? I : ..I..! / ,"1'.".~-" I Tille
(NO"Te Cllffdlcalo of ()fficer {ll/fhoflled by /dW flJ !nlle IfCKl1l,wlMgments is flof 6SflfJ/ltml 10 Ihtl VRlldlfy or CertlfleSls of Release 01 F.deml Tax lien Rev, Rut, '1.46~. '91'.2 CS. iOi)
PART 1 . ReCORDING OFFiCe
Form'" (Z) (R...., 8-97)
CAT. NO eooU81