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HomeMy WebLinkAbout1637 ~ - - - - ~ F~ U. S. TREASURY OEPARTMENT - INTERIU?L REVENUE SERVICE F~.Op~a~rl Use Br R~ea/iy ON:c~ I (REV. s.a» ~ERTIfiCATE OF REIEASE OF FEpERAI TAX LIEN ( DiSTRICT sEai~~ No. T~EO ANO RECORO~D'• ~ Jackaomtille Florida 160109 B 168 P 800 ~UCIE COUNTY. FLA. ; ~ RE.CORD VEli1F(~p ~ I h•.•by c~?tiiy that os to th~ followiny-nom~d toxpoy~r 1h~ requirem~nts of S~ction 1QL~ACA 63'lS(o), Intenwl R~v~nw Cod~, hov~ b~~n sotisfi~d wit6 r~sp~ct to th~ tox~s ~nu- VO't0`Z I nNrot~d ~low~ toy~th~r with oll stotutory additions ~povid~d by S~ction 6321; and 8 ~ Z'~ OZ thot th~ lieo fo~ sucb tox~s ond smtuto~y odditions lias th~r~by bt~o r~l~os~d. Th* ~ ~ pr~r o~~c~r in tM offic• wh~r~ notic~6~ int~rnol r~v~nw tax (i~n wos filed on . i ~ 1j , 19 is Mr~by authoris~d to nak~ norotion ~p~ER ~0~'r~ ~ on his books>to show th~ .~leos• of so~d lien, insofo. es t1,~ lieo r~kt~s to th~ CLERK CIRCUIT COURT ~ followiey tox~s. I NAME OF TAXPAYER ' ~ ! Schv~ World Famous Cit~uua Inc. i RESIDENCE ~ P 0 Boz 428 vero Beach, Florida 329b~ ~ ClASS OF TAX UNPAID BALANCE ~ (Tox R~tv~o Form No.) PERIOD ENDEO ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT (a ) ~b) (c ) (d ) 941 6-30-6T 9-1-67 59-1148241 9T3.85 ~ , ~ ~ i I i ( ~ ~ ~ a ~f ~ ( ; ~ i i R ~ { ~ ~ ~ PLACE OF FIIING ~~k,Circuit Canrt - ~ Indian Ri~er Count~ TOTA~ s 973.85 ~ i Ve~o Beach, lrlorida wITNESS n+y hmd ot Jackaon~ille, Florida I~*~s, th• 22 da~r of A~il ,19 ~ ~ SIGNATURE TITLE Chiel, S~ecial Procedurea Sscticn ~ {l10TE: Cutif d~111cN w~~liwJt~ Ihr Iw te t~k~ ~ci~nwl~l~wrn~s i+N ~s~~n~~~l ee H+~ .•I~I~~y d Naic• J F~~1 Ts~ Li~w G.C1i1. ~ ~.s. s,. ~i7i ~ .AtT l--T. l~ r.~«+M rMr«« - - - - . ~