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, h~ K~ U. S TREASIJRY OEPARTMEM - INTERNAL RfVENUE SERVKE h q~1lwd IM ~r M~ir OMIe~
(REV. 1-66) CEATIfICII?E~OF RELEASf OF fEDERAI TAX LIEN ~ f~lEO a~0 A~~~R p
' asrRiC7 s~a~t MJMSeR =T- IUCIE CO N
~ n!'~ 1~1~95 B1T4 Pf~7 CLERK ER P~~TRAS~~ ~
AECORD VER Fj~~T ~
~ l~~b~r oNt~fy thot os b tFN id{owinp-~wnrd twDal~? f1K n9vir~nb of Ssction 63251a1. EO~~
internai R~rsnw Cods. hov~ bNn wtisfi~d with r~~p~ct b th~ tox~s tnun?~roted bdow. top~tMr ~ce ~
w~th ali srotvtory oddi)ions providd by S~ction bs21~ and thof tM li~n (or wch toxK ond ~ 12 ~6 PN ~l'
qoh?rory odd~rions hos M~nby bw~ nlws~d. Th~ propK oHicK in tM offiw wh~r~ noncs of
~ Mn.nol r~.~nw wx Ii~n was fifd cx~ OC t.~51' ~1 19_S~SL~ b henby -
o~tlw~iy~d to molc~ nolorion on hIS books b~how dw nlws~ d said li~n, insofor os the li~n
2G5122
NI1ME OF TAXrAYdt
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RESIDBJCE OR Pl/1CE OF bU611~E55
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Q/1,SS OF TAX t~AlD dAIMICE
' (Tmc IEMwn Form No.) ' PER100 Ei~ED ASSB6~YIB~[f QA?E IDEMIfYIt~l('s NUM6ER Cf AS6BS~AABd
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~ WITiJESS m hand at Jacksnmille Flerida
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