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pa~~ ~ U. S. TREASURY DEPURTMENT • u+TERN~~ aEvEHUE sERVtCE Fo. qr~•o~w~ Us~ e~ R«e.e•y W~•cs
cR~~. e-e~+" CERTIFICATE Oi REIEASE OE FEDERAI TAX IIEN ~ ~~r, R~~ "
DiSTRICT SERIAI NO. ~f
~~H~
Florida 184109 8~180 P-1082 csRCWt~
! hsreby c~rti(y thot os to the (ollowing-nom~d ~axpoy~r tht r~auirem~nts o( S~cti M~Rlfl~~w
6325(0), Internol Rer~nut Code, hove b~~n sotisfi~d witl~ respect to t:~ tox~s enu- ~
m~rottd btle«, together with oll stotu~ar odditions prorid~d br Section 6321; ond 4~~~9
thot the lia~ for such toxes ond stotu~o~y odditia~s hos the~eby been r~leostd. TM
prop~r ofiicer in ths office where notic• of intcrnol .evenu~ tax I:~n wos fil~d o~
p_tn6er 9th , 19 ~9 is her~by outhori:ed to nwke notction Q~
o~ his books to show the releose of said lien, ~nsofor os the lien r~lotes to tM ^r•i
following tox~s.
NAME OF TAXPAYER
Steva D. and Glanda Johnson • -
RESIOENCE
2020 Delaware Avenue
Fort Pierce, Florida
C1A55 OF TAX UNPAID BAIANCE
Taz Return Form No.) PERIOD ENDED ASSESSME?37 DATE lDEtLTIFYINv Pll1MBER OF ASSESSMENT
I'~ (a) (b1 fc 1 fd) (s?
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~ 1040 I2/31/68 6/b/69 262 54 9U21 743.98
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ACE (~F FILiNG
~ Glerk, Circuit Court TOTAL ~ s 743.98
~ St. Lucie County i
~ Fort Pierce, Florida _ _ _ .
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~ `+~~TNESS my na,d ot Jacksonville, Florida ,
~ , on this
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~ r~e ZOthdoy of June ~9 71
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~ SIGNATURE ' fZ~~l TITIE
~ Vern L~svis A~cting Chisf, Special Prc+ceduxes Staff
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~ (NOTE: C~rtifico?e o1 officer ou~!+ai:ed br low ro to'ce oclnowledy~enrs is not essent~ol ro ehe +o{~dify ef Nwic~ ef f~dMn) To¦ 1.i~n G.CJiA.
~ z~~9. c_a. ~9so-si. ~ss.~ Q.~. ~ OOk ' ~T~ ~ :
~wRT 3-To b$ used for recording purposes
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