HomeMy WebLinkAbout2355 Fo?m 668 oe~urw~nn oF n+E n~wsue+r~e+K ~EVE~t~ sEtv~ce !w Op~«w1 us M Reoo.dug Ol~c~
jREV. 1-70) ~~T~A~ ~ ~ ~ T~ ~1 ~'~7/'1,~'p
~isr~cr s~ i'a~r~t E V~~irfr~
llorida
I i?ercby certify tfiat os to the folbwing-~amed taxpayer the requirern~nts of Section
6325~a). Internal R~venue Code, have been ~ofisfied with respect to t h e toxa anu- 1
merated below, togeM,e. w~th ell statvrory additioru provided br Section 6321: ond ~ a~¦~~!
thot the lien for such taxes ond statutory oddifiorK tws there6~r been released. The
prope~ officer in the office where ~tice of intenwl revenue tox lien was 6kd on ~
Oel~bar Z8t6 , 19~1, is heroby out4wrized to r~ke nototeon
on his books to show the reteose of said lien, insofar as the li~ relates to the follow- ~EC• 8 19~1 1:4b PM '
ing ta~i~. • ~
NAME OF TAXPAYER , ~
Isai~6 Lucaa
: RESIDENCE N «
~ 3io3 s•.aw ~ ~ ~
!brt Mss+c~ ~la. 331?SO
~ UNPAID BALANCE
, KIND OF 7AX TIUC PERIOD ENDED /~SSESSMENT DATE I~ENTIFlfING NUMBER OF ASSfSSMENT
; Ial (~1 kl (dl (el
~
x 941 6/30/71 9/3/71 59 0905220 74~.8~~
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PLACE OF FIUNG
`3 Cl~sk. Cis~e.wit Court TOTAL t
- St. Luei~ l7ow~t~ 7i~.81
~t. tiare~ lla.
Jacksoa~vill~, ~lorida
WITNE55 my hand ot , on this,
~a
~e 30th ~r of 1DV~tT , 19 71
5lGNATURE TlTLE
Jack ~t~ i C61~f, sp~eial troc~nsu Staff
_ (NOTE: at~ficate of off~ce+ aurMnzed by law to toke ocknowledgme~ts is not essentel fto the vo!~ddr of Not~ce of Fedao! Twc l:e~ G.C.Ati.
_ 26419. C.B. 1950-51, 125.) ~
PART 3-To be us~d for recordin~ purposes j~~