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; Fori 664 U. S. TREASURY DEPARTMIENT - ~NTEaMAI REVE?1uE SERV~CE Fo, qre,awl us~ Br R«ad.wy OKce
(REV 8-67) tERTiFICATE Of REIEASE OF fEDERAI TAX LIEN
! DISTRICT ~ SERUL NO. ~Q R~'(;OR~EO
; Jackaonville, Fla. 120771 B-75 P-~3 i~`,~~~ t~ Cp~1T'~• ~LA.
y y g poy~r th~ nquirem~nts of S~ct~on ~i' }LJe~ F~~~~F ~
1 hsreb c~rtif thol as to Ihe followin -nomed !ox
~ 6325(0), leterr?al Revenu~ Code, hove be~n satisfisd witb r~spect to the tox~s enu-
m~rotad b~lew, to9~ther with all stotutorr additions p?ovided by Ssction 6321; and A9~~ :~C
that the lien fw such toxes ond stotutwy additions hos thereby been r~leased. TM ~~~p ~4p ~
, psapar officer in the ofEice rrhere notice of internel rerenue toz lien wos filed oo ~ ~
~ tdovember Zlst , 19
63_ is 6eroby authori:ed to mok~ noration
on his books to show the r~leoss of said lien, insofor os the li~n r~lates to ths ~t.S
followiny toxes. - i~(~:~~R
NAME OF TAXPAYER ~~ERK Cti~'~t!!T COURT
~ R. R. and V. Goodwfn
707 Windsor Avenue
RESIDENCE
Ft. Pierce, Florida -
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~ CLASS OF TAX UNPAID BALANCE
iTox Return Form No.) PERIOD ENDED ASS~SSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~a ) ~b) ~c ) ~d ) ~e )
1040 1961 5/18/62 59 25 2091604 90.26 ~
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PLACE OF FILING
~ Clerk, Circuit Court TOTAL S 90.26
- St. Lucie County
~ Ft. Pierce Florida '
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~ WITNESS my hand at_ ~ Jacksonville~ Florida , on rhis,.
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5
~ the 13thdoy of Febtua~v ,~q 70
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SiG~N RE TITLE
CG%i'~ C~' ~
~ W. V. Blrod cti ef 1
~ (NOTE: C~rtificat~ ol oilic~r outhori:~d by lo.r to tok~ ocknow~l~dym~ms is net ~ss~ntiol to th~ voliditr of Notic~ d Fed~ral To: Litn G.CJ+1.
r; 26I19, C.B. 195PS1. 125.) ~ w_ pb
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