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HomeMy WebLinkAbout0442 fww~ 6`f U. S• TREASURI/ ~EMRTMENi • ~NiEMUI tEvENUE SEtvKE ~REV. Hov. ~9e» CERTIFICATE~ OF RELEASE OF FEDERAL tAX LIEN ~r~r','~~j(~~ (Form~riy Fomn e69~ li~ M wNl h R~~~ T~a Uew~ wN~~ S~sd~w ~~251~1, I.R.C. ~f 1~5~1 ~tSiRICf Jao:sonvil2e, ~'lorid~ Clerk~ e file no. ~~R 4 I he~eby ce~tify that as to the following-named taxpayer the requ ~ements of Section 6325(0l, Internal Revenue Code ~f 1954, Fwve been satisfied with respect to the toxes enumercted below, together wfth all statutory additions ptovided by Section 6321; and ttwt the lien for such taxes and stotutory additions has the~eby been releosed. The p~oper office~ in ihe ofl~'~oe whe~e notice of internal revenue tox lien was filed on~y 14 - , 19~, is hereby authorized to make notation on his books to show the release of said lien, insofar as the lien relotes to the following taxes. NMAE OF TAXPAYER J. W. d~ Aeba ~f. Dickeos~ RFSIOENCE Ok PIACE OF BUSINESS ~oeb GfPiae Bo: 6°j3~ Fort Pieros~ l~lori8~ . iYPE OF TAX ANO PERI00 ASSESSAAEM DATE REFERRVCE NO. _ AMOIJNT OF ~o~ ~ I~SSE~SIIAEM Idi Iacome - Add1 19~i8 ~-j~-62 62~D-17100-2T20 I9~82d.~ - i~oo~e ~ llddl IS4Q 3/~o/62 6~-~-i7toi-2Tio ~ io,22~.i6 ~noo:~s - ~?aai iS?5a 3/30/62 ~-~-~nc~-ano ~7.3TT•~'S Inooms - Addl ig5t 3/3~~E2 6~-D-1T10~-2710 ~2,943•$5 Inosae - eaai 39~t 3~/j~/62 62-D-1T10A-2T10 128.99 Inooss -~?ddl 1953 3~/30~62 62-D-1714~-2710 1~614.09 Inc:~ne - Addl lq~? 3/ /62 62-D•1710b-2710 S,SSO.lg ~ Inco~ - ad~i i95g ~30/6~ 62-D-17107-+271~0 ~.06T•93 ~ ~ ; L v. ~`~r~~~ _ ~~`~t,~~~~~': ~ . ~~~p RECO, DED . ~ , . . ~ic~aj R~co~ ~ - . " J : l~-- _ ~OOK : • ~ . ~ - . - ~ ,:'4: : r. . . - . - . 1 S4 Jf i124 AM I I: 00 _ . - . c;~ j ' : '~c.,'-.; . ~ R G ER PO tTflAS. CLEfiK • •;~......••o,,.:.~=~ ~ . ~~..:~E C ~T. IUCIE COUE~TY. fLORIDA~G - ~ . . . ~ PIAGE Of NUNG Clerk, CSraniti C~outt mT,LL ~~3.22~•i8 8~ Lucis ~urnr . o . : ~ ~ WITNESS my hand at Me~t Palm Bsach. l2orida + , on this, : !he 23sd day of J+~nunr7 , 19~? • ' , ~ ~ asTRia artECroa oF ~~awu atv~ aY ~ni m~E ! ' - ~ - < ~ LAURIS M. T~LIN80N ~ t~ - ~ ~ Acting Collection Hanager! , tHOr~~ c.mr~. or o~.. ~f?o.~~.a ~ w w~. ~ ~a....~r~~ ~+r. ~iw~„ ~Qc~. s611~~.a. 19~r~ ; PART 3- Te be us~d for ncording purpes~s ~~~K - ci PAGE M - • - t . _ ~ . . . ~ • ; ~ . i . ~ . • - . ' ~ ' : . ; , , i. . { s ~ . . _ . . _ - - - - - -