HomeMy WebLinkAbout0795Foam b68 U, S. TREASURY DEPARTMENT • !NTE!!JAl RFJFtVIIf SfkYICE ~ k ~ I~JtG~ 1
tQEV. r~~Iv. _ I qo- l t CERTiFIC/4 i ~ CAF R;I.~SE ~F FEiJERdL TAX !! lEN,..~.....,...,__...... ,. ..
tf~r~~~erlti• Fov rm_6 (,ot ~ (T~ b~ uud b R~Iwrs tox ii:,na tindrr S~rtl~n 43T"ioi, I.R.C. of 19St1T 111 f I~ - .
DI 5 T R I C I _ "".r_.,-..~-- 1-~--1 ~ !l' 1
SERIAI NidhLEER - _- .•.. _ _ .
___ Jscksunviller F''iorida _ _ Lien Book 7 pale's 559-560 67933 __
I hereby certify that as to the following-named taxpayer the requirements of Section 63251ai, Internal
Revenue Code of 19.54, have been satisfied with respect to the taxes enun-erated elow, together with-
ali statutory additions Provided by Section 6321; and that the lien for such taxes and statutory additions
has thereby been released. The proper officer in the office where notice of interns! revenue tax lien
was filed on _~Iu].~c '~T Qt 19~~ is hereby authorized to make notation on his books to show
the release of said lien, insofar as the lien relates to the following_taxes.
NAi'AE OF TAXPAYER -_-- --- -- -
__ _Otis F~ Kelley _ _
RESIDENCE OR PLACE GF BU61NE9b - -- -
Casa Carrona Aoart~nts_ Fort. Pinr~n >r~.,,.i,~~ l
TYPE Of 7AX AND PERIOD
lal
IT 1955
IT 1956
,_.,;
.. - ~'
_ . ..,
. ,~~~.
y
ASSESSMENT DATE j RIFERENCE NO.
Ib1 11 (cl
1956 OP 150581?
1957 0? 15o56Ht;
?-31-56
5-31-57
~.O~i4
FETED ND RECORDED
1961 N 8: 44
R POITRAS, CIERK
T. IUCIE COUNTY, FlORlO
~C
OF FILING -- --- -~-
Clerk, Circuit Court
S+.. Lucie County
Fort Pierce, Florida
~~
WITNESS my hand at Jacksonville. Florida
the_ lstday o{ November iq 62
DISTRICT DIRECTOR OF INTERNAL REVENUE
Laurie W. Tomlinso
(N01E: Certificate of officer authorized by la
. ~' `--
BY ISignarure)
AMOUNT OF
ASSESSMENT
Idl
i17S.oo
198.30
TOTAL I j
673.30
on this,
TITLE
Ctifef~ Special
Procedlu•Qa Section
take ocknov.~p~gmentt Is not esxniial to the validity of this document. G.C.M. x6419, C.B. 1950.1, 135.i
PART 3 - To be used for reSOrding purposes