HomeMy WebLinkAbout2869 ! ~ - - . ~ - ,
f Ferm 668 U. S. TREASl1RY DEPARTMENT - u+TErt~+a~ REvfr+UE S£~v1CE Fo. Oor.o,w~ Usc Br Rccwd.eq W/,ce
I iREV. &57~. _ CERTIFICATE OF REIEASE Oi ifDERAI TAX LIEN . ,
DISTRICT sEaiA~ No. 18G281 ^ FILED AND RECQROE
,~~~~f ~~'s~ ~ 4.R ST. LUCIE CQ~~NTV FI~._
1 hereby certify thot as to fhc (oilowing•named toxpoyer the reQu'uements o( Sect~on ~Frn~~ V~~~F~~~
~ 6325to), Internol Revenue Code, hove been sotis(ied witF respect to tfie toxes 19~1~
meroted belr«, together with oll stotuto~y odditions p~ovided by Section E321; o~d
; that the lien (w such toxes ond stotutory odditians hos thereby been re!eczed. The 'l0 APR 9 PM
proper fficer in th of(ice where notice 9~( internol ievenue tax I~en woz EEled on
~eember ~ , ~9 6y is he?eby au~hwized to make nototion _~~jp,~i..L~
on his books to show the releose of soid lie~, insofor os the (ien rebtes to fhe
FO`=Fr ~ OITR~S
Follow~~9 toxes. CIERK ClRCUIT COURT
NAME OF TAXPAYER
SILi.I~ID L. ! BiOBffiE J. ~
RE$IDENCE
~1~ ~OiD ~'~S ~IL'O~~ ~3~~~~ .
CLASS OF TAX UNPAID BALANCE
(Tax Retu~n Form No.) PERIOD ENDED ASSESSMENT DATE IDEP:TIFYING NUMBER OF ASS _SSMENT
(o) (b) (c) (d) te?
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~ WtTNESS my hand et Jacksonville~ Florida on this .
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rhe~~L_dcy of ~ril ,19 70
SIGNATURE TLE
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~ ac Durant Chief S eciaZ T.'rocedures Staff
(NOTE: Certificote of officer o~r ~•d br low ~o roke ocknowl•dyTems is not ess~n~~ol to th~ voliditr o( NWic~ of Federol Tox L~ tr G.C.M.
~ 26119, C.B. 195,51. 125.) ~
~ PART ~To be used for recording purposes ~
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