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HomeMy WebLinkAbout0789 ~ ~ ~ . i . _ . . . . . _ 'l. ` ~ - ~ N.Y. . ~ ~ : ~ i ~ , • .~f~~ 1 •,~f~ Q . ~ F~ ~ U. S. TREASURY QEPARTMENT - IIITERMAL REVENUE ~ERYIC,E`~ r,~j! ~ ra qw.es~: ~se 3p R~cvdw OUice ~ tRfV, ae» CERTIi1CATE Of RELEASE 0~ i~ERAI TA~::iIEN h, ! DlST.RICT : SERUL 0. 1'~91~, ~ FILED ANR RECORDED ~ i 1 R ~ 5T. LUCf~ COUNTY. FLA:+•- - i I h•r.br c.r~~fr thot os to rh. follow~ny-no_, taxpeyr th. ..quir. ?s of Sec~~en . i: ^ Q i~ : R F[; ~ 63~5(0). Int~reol R~v~nw Cod~, hav~ b~~n sqt~fi~d.with r~sp~ct'to 1M tos~s ~e~- f~~~j ~ n+~rated ~low, toy~th~r with oll statuto~r oddj~ioes :p~oy~d.d br S.crjon 63~1; a~d ~ ~~+F~~~~/ . ~ thot th~ lien ior such tox~s and stotutoryr eddtttans !ws rhir•by b..o r~iws~d. Th~ y~~~ nv~! p~ q O ~ prop~~ officer i~ o{fict w~~n eotic~ of iet~rool~~ev~nw tbx li~e was fil~d on ~1 f R 4 ; ~ e . 1~_~s h.r~br ouih«i:.d tb.wb qerorian ; on his books to show th~ r~lws• oi said liin, in;ofar os tl~e lien ~~lotei to eM Y ' ~ ! followin9 rox~s. ' ~ t?Q~ ~ R. Fd1TRl~$ ~ NAME OF TAXPAYER e CLEP~( CIRCUIT COURT i~i~i LTi~ ~i~~ ° ~ ~ iw arreswi !rlyd~ ! i~dplr • . . ~ . _ ; - ~ RESIDENCE g ' ~ ~ ~ ~ ~ - I 1~ ~M~ ~~~M~ ~ • ~ ~ ~ • ~ CWSS OF TAX a y.&ra ~ UNPAID BALANCE (7ox I~~twn Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING~ NUMBER OF ASSESSMENT (o) ~b) (c~ (d) (e) - ` i ~ I ; _ ' i ~ ~ . ~ ~ . ~ ~ i . - ~ , ~ ~ I ~ i ~1 ; . ~ i i ~ ~ 1 P~ACE OF FILING ~ ~S ! ~ ~ ~ a TOTAL i i ; • I ~ WITNESS my hand ot , ~k~O~ilL. lleridt , on this,. - • `i,e ~ day of ~~~r ,19 49 s ~ SIGNATURE _ ~ ifIIt ~ QiSAr~ 8p~b1,a1 Fi'OQ~d~• S~Ot~Co (NOTE: CNtificot~ offieor eutlieris~d by la~r to tek~ aeknvwl~dqw~MS is not ~si~Miol to tla ~oliditr ef Hdic~ of F~dKOI Tm~ Li~a G.CJiA. 26~i9, C.B. 195451. 125.) o . - IART 3-To b~ us~d for nconllnq purpos~s ! ~ . - - - _ ~ ~ Y-~'~~,~~~~~ ^ ~ t;;.~,~,~,~:, - ~ " ~