HomeMy WebLinkAbout0345 ~ ' " - - -
Fam 668 cerNer~r~i uf n+e n~~sua-aarE:rw eFV[wuE SEercE Fo: Op~orwl U,e Recardng
(REV 1-70~ ~ERTIR~~h Of ~IFASE Of ~E~BG~ TAX UEN
iT. t~F
UiSTRICT SERi:.I NIiMBER ~CER P01?~S ~
FLori.d~ 192017 B-18 P-28b? ~p Eaii~~
I hereby certify thot as to the FoHowing-nomed taxpa~~er the iequiremenK of Section
6325(a), Inte~~a! Reve~ue Code, have been satis6ed wiih respett to the toxes enu- ~ a~~~~'
merated below, togeMer w;th all statulory odditions provided by Secteun 6321; cnd
; tho~ the lien for such taxes and stututory odditions has thereby been released. The
proper officer +n the office where notice of i~ternal revenue tau !ien was 61ed on ~~?1~K~)0
~~L.Q , 19~_, a hereby outhorized to niake notation
on his books to show the rzlease of said lien, insofar as the lier~ rel~tes to the follow-
ing taxes.
NAME OF TAXPAYER ~
Sts~ Johns~s
icc~u'ci~.E
2020 Dol,stri?1'e ~~nnue
Fort Pierce F'lorida
• UNPAID BAUNCE
i KIN~ OF UX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESS~AENT
~a~ ro? <<~ c~~ c~~
~ 941 3-31t68 6-2or69 59-11L7329 ;175.4T
t 9b1 12-31-66 11-71a-69 59~-1147329 93•01t
~ 941 3-31~-69 8-15-69 59-11bT329 22.06
~
~
!
~
~
PLACE OF FIUNG C1eTlc~ CfrClil~ CO~'tr 2~0•57
~ $t. Iuc1e Cannt~ iOTin~ S
~ Jaclcsondl3~s~ ~lori~
~
~ -
~ .
~ WI~NESS my hond et West PaL Beaohj FlrsPlda , on th~s,
~
~
H?e ~ dar of Jnly , ~ 9?1
~
~
~ SIG E 71T
^
' ,L~-,~~ J
~
~ (NOTE: Certificde of officer outiw~~zed bp lavr ro take ocknowtedgmeots is nd ase al !o the v idit~ of Notice of Fede~al Tox lieo G.CJVI
26t19, C_8. 1950-51, 125.)
~
~ PART 3-To b~ us~d for record'aq p~rrposss s~ 194 ~
~
~ - - - - - -
~ . _ .