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Fonw 6Ga I~J. TREASURY D~PARTMENT - IMERNAL REVENUE SERVICE ~ ~
~REV. NOV. 19511 CERYIPiCATE QF R~LEA5E t'~P FEDERAL TAX LfEN ~
' (Formerly ~oKn 66A) ~To b~ ~s~d te R~Iwsr To: U~ns und~? S~etion b325(o~, I.R,C. af 19SA) j
D15TRtGT SERIAL NUMBER i
~ ok~onv~lle filorida FTLB Psge 1~68 IIjO'j~ ~
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( hereby Certify that as to the following-named taxpayer t~e requirements of Section 8325(r~), lnterna! j
. V Revenue Code af 1954, have been satisfied with respect to the taxes enumerat~d below, together with ~
all statutory additions provided b y Section 6321; and that the lien for such taxes an d statutory a c
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has thereby l~n rel ed. The pro~ officer in the office where notice of internal revenue tax lien
was filed on eorary~, ~ ~ q_~ is hereb y aufhorized to m~ake no ta tion on his b a a ks to s how ;
4i the release of said lien, insofar as the lien relates to the following taxes. t
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~ NAME OF TAXPAYER - - ~
-_~dd ~i. Brm~m, Ori • agt4T 1
R~IDENCE Q~R PLACE OF BUSINESS - - i
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TYPE OF TAX AND PERIOD IS5655MENT W1TE REFERENCE NO. q~E55MENT 1
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9~I- 1Fithholdir_~ 6/30/b2 5°~73~^5~5 ~-3~-E.~ RI86.72 I
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IACE OF FIUNG
Clerk, Careuit Court iOTAI s~Y8b,7~ ;
St. Lucie Cnunty ~ j
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.~._PiBr~. Elorida - '
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WITNESSmyhandtit uacksonville, ~'lorida ~
- on this,
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the_.__~~day of J~!~ 1q ~5
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DtS'fRfGT DIRECTOR OF JfYTERAIAL REYEPJUE BY (5lpnatvrs) TITLE
F. S. Schaidt a~ Chief
Spec~al Protedu~~~ S~o~
(NOTEi Cdrtifkate of otl'ia~r ov~f?orized by law 1~ Take pcknowl nts is not euential to the •ralidity of thi: dotument. G.G.M. 26419, G.$. 1950•1, i25.)
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PART 3- To b~ us~d for ncording purposes ~ R
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