HomeMy WebLinkAbout1903 - ° - - • ' • -
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; U. TtEAS(~RY DEPin~TMENT • WTfPNAI REYENUE SERwCE
' iaEV. n~ov. ~ sa~ i CERTIFI~ATE OF RELEASE OF FEDERAL TAX LIEN ~~~`j
i (formeriy form 669) Re be wed h teleos~ Te: liens undN fecHew 632SIel, I.R.C. d 19511
~ DISTRICT SERIAL NUMBER
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; I hereby certify that as to the following-nomed taxpayer the requirements of Settion 6325(al, Interncl
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~ Revenue Code of 1954, have been satisfied with respect to the taxes enumerated below, together with
~ all statutory additions provided by Section 6321; and that the lien for such taxes and stotutory additions
has thereby been released. The proper oft'icer in the of~'ice where no'tice of inte~nol revenue tax lien
~ was filed on 8..7.?.1~L~ , 19-, is hereby authorized to make notation on his books to show
i the release of soid lien, insofar as the lien relates to ihe following taxes.
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F w4ME OF TAXPAYER
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~ RESIDENCE OR PIACE Of .
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~ TYPE OF TAX APD PERIOD ASSESSAAEM DATE RBERENCE NO.
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i 1t~0 Iwo~ 22-3~63 S,?~~iA i6'~-o~~i'M = 3*3" .26
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G ` ST' WCA 0 RECORDEp~
~ t : r r t CQUNTY, Fl.Q.
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'68 FEe z ~ : s ~~S
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~ ?iO:•i.:? ~-t~tTR,,
~ ~lERK ~~R ~~T COURT
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~ PLACE ING
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~ WITNESS my hand af J A~'K S~NVILL~, FI~1. , on this,
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~ ~ lOday of October , 19_~
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DISTRtCT DIRECTOR OF IMERNAL REYEI~IIE 6Y ~Siyrwtun) TITLE
~ IAi1RIE :a. ~MLINS(~N CHIE.~-S?EC.PF~C.SEC. tt
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~ (~'10T~ G?tificoh of offiow outhair~d bp taw b taks is rwr ~sseMial to th~ wlidity of thisdo~, C. i9, C.B. 1950-1. 125.{
~ PART 3- be u:~d fo~ ~cording purposes e~~~~ }~~i
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