HomeMy WebLinkAbout0742 ~ ~i . Q~
Fohw 668 U. S. TREASURY DEPART6AENT - ~t~7ERHA~ REVEr+uE SERV~CE Fo. ON.owl use BY Recad.~.y W~~ce
~REV. 8•67} CERTIFI~ATE OF REIEASE Of FEDERAI TAX LIEM ~o aEc
QISTRICT SERIAL NO. ~#4E{p~C1E C011MTY
~OGER PO~TItA f ~
~~Ea~ CIRC {t
I hereby c~rtify thot os to the iollowing-nam~d toxpoy~r the reQuirem~nts o( Section C~~B VER~F~~O~
6325(c1, Internol Revenue Code, hove b~~n sotisFied witl~ respecr ro the tox~s enu- ~
m~~ofed b~lc«, together with oll stotutar additions provided by Section 6321; ond
thot the lien iw such taxas a~d stotutory additi~s hos thereby deen r~leos~d. The
p~op~r olficer in the office where notice o( internal revenu~ tox tisn wos filed on
~{a,~ti t!~ , 19~, is hsreby outhorizsd to moke notation
on his books to show the releose of said lien, i~sofor as the lien relotes to ths ~ O~~~~
foilowin9 tcYes.
NAME OF TAXPAYER
R ESIDENCE
I102 Trinidad Av~enue
CLASS Of TAX UNPAID BALANCE
~ :'Tox Retwn Fo~m No.) PERIOD ENDE~ ASSESSMENT DATE IpEMTIFYING NUMBER OF ASSESSMENT
i
' (a ) (b ) ic ) (d ) (e )
i
i
~
G io4o 12-3i-66 ~-3i-68 239-40-8882 202.92
~
,
; loi~0 12 31-67 5-2l~-b8 239-40-8882 261.68
~
i
~
~ ~
~ ~ !
~ . - ~
~ i I
~ i b
~ ~ ~
~ I
ti i i
~ ~
5
~ PLACE OF FILING
' Clerk, Circnit Court TOTAL ~ s 4~_(~p
S+. Lucie County
~ Fprt ezrw~ F102'idA - - - - ~
~ 'N17NESS my hand at Jaeksenvi7lA~ Flnrida , on this,
~he llth dey of March 19~~
- ;tGNAtURE TITLE
y v ~
~ i
~
- - -____1_~_ ChiAf~ Sl]flCial PrMedj,~g~a $}~ff
~a iNOTE •+rificate of olfic~. a„t~,a,t.e eY ~a« to foke oc4no..ledqments ~s not •ssen~~ol to th~ ~ol~d~ty ol No~~ce o~ F~J~ral 70¦ ~~e~~ :,.C.M.
r 2y4~9, c.e. ~vsas~. izs.~
U R 11~~ sa
~l PART 3-To b~ used for recording pu~iposes
~ _ _ .
~ - -
~
~ ~
v._..,.__ _ _ . . , - - _ _ .w.