HomeMy WebLinkAbout2381 f _ 9~ . _ ~ ~ i91~~~
~e.e.~nv n~e~oTYFNT - INTERNAL REvEIiUE S v
~ V. S. Tn~.wn ~ v?. E R ICE r Fw O~r.oual lhs 8~ R«ord.~y ON.t~
' . a-a~, CERTtFIC~TE OF RELE~SE i3~ ~~i3~RR: ~~Y IiEN
~ DIST321CT SERUI NO. ~ ~
i - ~
~ Fi~o aron a~COaoEo
i , 1 he~sby c~rti(y t ot os to the (ollowiny-na toxpaytr the nauirsm~nts o( Sect~on T. LUC~E CO NTY. F~• :
; 6325(0), I~t~riwl Revenw Cod~, ha.ve b~~n safii(Itd with respect to tl~e tox~s en~• ~t vO~~ V~R~~!E~: `
' m~roted b~lcw, to9etht? with all stotutwy odditions Rrovided by Section 6321; and
~ - that th~ lien iw such toxss ond stotutwy oddi~ions Ms there6r been r~leas~d. Tb~ 191s"75
; proper office~ in th~ office wh~r~ notic• of int~rnot revenue tox lien wos fil~d on p 00
i ~~1-69 , 19 is h•.ebr aurhorc:.d ro nak• naro~~on ~1 ~Q ~ /~~t~ ~
; • . on his 6ooks to show the r~l~ose of said lien, insofor as the li~n retotes to tht ~~~%y:~""'~ ~
i followiny toxes. `
t NAME OF TAXPAYER f{QG~R 'OITRAS
' CLERK CiRCUI? COURT
~W ~Y '
RESIDENCE -
~ ~i~~ Y~ li. !l~aw~ ~e3~-~
~ CLASS OF TAX UNPAID BALANCE ,
(Tax R~turn Fo?m No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF A55=55MENT
(01 (b) k) (d) • .
~
~ i - - - _ _ _ i.~p,~----- -----~p,.},f~ ~}p~~ - l.l~ii.,~_--- - -
.
f
I i
~
~
~
~ ~ PLACE OF FILING~ ~~~5
~ ~ I~I O ~ TOTAL t
a ~
~
~ wITNESS my hand ot Jackso~ville~ F].a. ~~~s~ ~
~ ~
~ the 9th~ of March ~ 70 ~ " ;
~ , ~
~ ;
~ SIGNATURE TITLE
$
CK DURANT CNIEF-SPEC.PROC.STA rr ~
~ (NOTE: Cntificot~ ollie~r outhaiseA br lowr to tok~ aeknowl~E~n~ms is not ~ss~nt~al to th~ volidity o( Netie~ of F~df?ul Toa 1,i ~n G.CJA.
zesi9, c.g. ~9sds~, ~zs.t Thie instrument prepat~d by J~ck
~ a00K~~ PQuE~T ART 3-To b~ us•d fo~
iornd~~ 400 W. Ba 8t de~ J~~I~s n-
~ 9 purpouwill~, F~or aa ~o~
~
~ , ~ ~ - _
~U,~ a-,~ ' ~ > ~
a. ~~..~M~.~~~`~-~.~__,~-~..~_ ?