HomeMy WebLinkAbout2700 _ . _ _ _ - - - ~ - - - : .
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fa~ bbt ~ U. S TREASURY DEPARTMENi - INTERNAL REVHiUE SERVI
~REV. NOV. 1961) CERTIHCATE OF RELEASE OF F~ERAL TAX UEN
(Formeriy Fo+m 669) ~ ~To b~ us~d lo bMo~ Tmc Ll~ns undp SK11~n 6.123(a~,1.RC. et 1934)
DISTRICT ~Mg~
.trC~iLLS. ~S+otl'~a 14278l~ o~2 i 3 8-~s 9~
i hereby eerti~j/ that as to the following-nomed taxpayer the ~equirements of Section 6325(al, Internal
Revenue Code of 1954, have been scatisfied with respect to the tuxes enumeroted below, together with
oll statutory additions provided by Section 6321; and that the lien for such t~axes and stututory additions
has thereby been released. The proper of~ieer in 1he of~ice where notioe of internal revenue tax lien
was filed on Februnrv i 1~ ~ q~ ~s hereby authorized to make notation on his books to show
the release of said lien, insofar as the lien reiates to the following taxes.
NAME OF TAXPAYER
rw~er s s.i..
r~ea~ oR rucE oF sus~res ~
iYPE OF TAX /1P~ PER10D ASS~MB~Ii QA7E ~ NO. AMdJM OF
Io) Ib) k1 ~
f~
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~ 1~0 Iae~r 2Z-~i•i~ ~S-,~3•i~ ~it 3i 17~! i ill.
FII.ED AND REC RDED
ST. LUCIE COUN Y. ~LA,
RECORD VERI IEO
ss ~ •
~
i: ~'UtiR S
K CIRCUIT OURT
w~ce ~ pur~c
Cl~s C~t~~ G~=L TOTAL = 19Z.~
s~ 1~et~ l~t~
t~st ~i~s+N • f f~ci~a
WITNESS my hand at Jacksonville, Florida ~~~f~
the 21tth day of ~Y , 19
DlSTRICT DIRECiOR OF INTEWd/1L REVENUE BY (~ynatun) T~~ Chief, Special
ocedurea Section
F. S. Satm~idt ~
INOTE: Gmfioot~ of oAiar autl~ortz~d by law to wk~ ~ b nor ~tiol w th~ wUdity ot ~~~C.M. 2641~VV 950-1. 125.~ I;
J1
~ART 3- To b~ us~d for ncordln~ purpos~s d00K
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