HomeMy WebLinkAbout1090 , .
i Ferp 666 U. S. TREASIIRY OEPARTMENT - iNTERNAL REYENUE SERVICE Fw O~r,mel Uss 8r R«odw ON~~•
` rRev. a-e;~ CERTiFICATE OF RELEASE OF FEDERAI TAX UEN
i OISTFttICT SERIAI NO. 1g6~8» :
~ ~.l~i!!~ 0 R a
i 1!?~rsbr c~rtify thot os to th~ ~oilowing-nam~d ~oxpor~r the rpuirt~n~s of S~ct~oa F~~-ED AND RECORDEO
` 6325(0), Interno) Revenw Cod~, hovs b~~n sotisfi~d with r~sp~et to tM tox~s ~nv ST' ~'UC~E C~V~T'y~ FLA.
meroted b~lew, tog~th~• with ell stotutar oddit,ions p~ovided by S~ction 6321; and ~~eQ~~ V~f~IF1E~
` that th~ lien For such toxss ond stotutwy odditions hos tMrebr M~o r~l~os~d. Th~ ~QI~~~O
~ proper o~
i«~~rtht offics wher~ nofic• 01 internol rer~nut tox li~n wos F+I~d on . ~~~~~J
i 1 , 19~, is ber~by ou~hori:~d to nake nototioe 0 MaY s ~ p~ ~c
on his books to show the rel~ose of soid li~n, insofor as tl+~ 1i~n r~lotas to th~ v ~~1
' followiny to:~s. (l~
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NAME OF TAXPAYER P.OGE~ FOITRAS
a~ J. ~ CtERK CIRCUIT COURT'
' RESIDENCE ~
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~ CLASS OF TAX UNPAID BAUNCE
~ i (Tox R~tv~n Form No.) PERIOD ENDEO ASSESSI~lENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~ (o I (b) ' (c ) (d ) (e )
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W17NESS my hand at J~lc~e~r tl~y Fi~nida , on tkis,
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the~doy of.~,l_ .191A ;
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~ SIGNATURE TITLE
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~ MOTE: CerN(icot~ o( oF(ictr o_'horiz~.: by Id~v to'olce ac4nowledymtMs is not ~ss~nt:ol to tM volidily ot Notic~ of F~d~rol Taa Li~n G.C~1.
26119, C.6. 195p51, 125.)
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PART 4-Te bt rNoin~d by SPS s~ ~84 ~1Q~9
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