HomeMy WebLinkAbout2224 F«m 668 oer~r?~rit oF ~~wsixr-NrEer~t cfvet~t~ seehcE
; (REV. 1-70) CNtT~1~ATE ~f RaEASE Of FEDE1tAl TAX LIEN ~~ttt CI
; DiSTRICT SERU1l NUMBER 203643 tI~AY.
JACKSONYILIE FLORIDA OR Book 189 • Pa a 2170
1 hereby certify t'??at os to the following-narried taxparer the re~uirements of Secfion
< 6325(0~, Inter~o) Revenue Code, have been solisfied with respect to the toxes eeu-
~ merated below, together with all statutory odd'dions provided by Sectior? 6321; and
~ that the lien for wch taxes and statutory oddi6ons hos thereby been releosed. The ~r~
~ proper ofi'icer i the ofTice ere not~Q
f int6md ravenue tax lien was 61ed on
~artuary 2~ , 1 q! 1, a~,~y o~thorized to make notation
on his books ro show the releose of said lien, insofar as ths lien relates ro ths folbw-
_ ing tmces.
NAME OF TAXN4YER
' Davitt J. ~ Jennie M. Adams
~
~ RESIDENCE
1215 South lOth Street
Fort Pierce, Florida 33450
`°s UNPA{D 8J11At~lCE
KIND OF TAX TAX PERIOD ENOED ASSFSSMENT DATE IDENTlFlfING Nt1MBER OF ASSESSMENT
ro) ~d~ (e)
:~z
1040 Incaae 12-31-68 08-07-70 263-42-2977 $ 4,114.15
1040 Incaue 12-31-69 07-24-70 263-42-2977 3,646.Sb
~
PLACE Of FIUNG
Clerlc, Cizcuit Court TOTAI S 7,760.71
St. Iucie County
Fort Pierce, Florida
_ -
- wtTNESS my ha~d ar West PaLa Beach. Florida , on this,
the 1 st day of ?~ovember , 19 ~ 1
SIGNATURE TITLE
G VE~ GxOUP SUPERVISOR, ACTS
- ;t~lOTE: Ce~hfcote of ofGcer av!~ix,zed 'uy ~uw to ta4e a:knowlerl~me~h ~s not essenhal to ~he vai~ddy of Nohce of federal Tox Lien G.C.M
ti 264i~, C.B. 1950-51, i25.~
PART 3-To be used fo? recordiny purposts
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