HomeMy WebLinkAbout0568 1 .;-i.'^?4?'+e-ri~~`~~' - ,,,v~
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~ F~ ~ • U. S. TREASURY DEPARTMENT - iNTERNAL REYENUE SERVICf3,. < f~? OMfiaed Use ~ R~cyrliN OHic~
; -(REV. a.s» CERTIfICATE OF ~tEASE Of FEQERAL TAx LIEN~°r
DISTRICT SERULtNO. •
! l~ILET~ AND REC ItD69~ .
; Jaaksonvills, ~lorida 99~T0 1-20 !•614 . T. IUCIE COUN
! ( h~nbr t~Hify thot os to tM followiny-nam~d tox4oy~r tM ~~quir~nwnts of S~ctia? R'~CORO V ~F
~ 6325(0), let~rnel R~v~nw Codt, i~uv~ b~~n sotisfi~d'twith r~sp~ct to th~ toz~s ~nu- ~ .1,~~~
i n~:rot~d b~low, toy~ther with oll statutory odditio~~povid~d by S~ction 63Z1; and -
~ that th~ li~n fa~ such rox~s ond stotutory additiona.hos tMr~by b~~n r~l~as~d. Th~16 O~j 2e ~6
~ prop~r offic~r tn th~ o~fic~ wh~r~ notic~ oi int~rnp~. nv~nw rox li~n was fil~d on
I _Mtn1~~r 19t1+ , 1q
61 !s h.r•br ou+hw~:•d w nwk• noro~~on
~ o~ his bopks to show th~ ~~i~ose of soid li~n, i~sofor os th~ li~n r~bt~s to,fM
Follo~?~~q tox.s: ROGER tQl AS
i NAME OF TAXPAYER LERK CIRCUIT COURt:
; Sha~uoock Villag~ ot`Ft. H~rc~, Iac. "
Ft. Pisrc~,B~ach, ~rida
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RESIDENCE: - • . -
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~ CLASS OF TAX
UNPAID BALANCE
i (Tox R~turn Fam No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT ~
~ (a) ~ (b) ic) (d) t.)
~ 6/30/61 9/15/61 61 9 16626Z 1,350.56
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i PLACE OF FILING
Clsrt, Circnit Court ToT~~ s 1,350.56 '
~ St. Luaie County ;
~ ! !t. Piuca~, ~lotida '
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WITNESS my hand at ~cksonvill~, ~lorida }
, on this,
~e 25th day of ~tob~r ~ 68
,
SIGNATURE TIT
C6i~f, spscial Proc~dur~a S~ction
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(NOTE: GrtiFicol~ ef offi ou~hort's.d br ow o ocknowl~dya~en~s is not ~ss~ntial to th~ velidity oF Notic~ d F~daal Taac ~i~n G.CJiA.
26419, C.B. 195P51. 125.) g~~~~ ~
PART 3--Te b~ us~d ~or ncerdin~ pvrpos~s