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Form 668 U S. TREASURY DEPARTMENT ~r.~7F REVEt+uE SER: i~E ~ fw Opr.awi Usc e~ Reco.d.nq OII ce
REV 8•h7` CERTIFICATE Of RELEASE OF F~1?'~itAt ;AX IIEN F~LE~ AMD REF9Rpf~
- - - - ST. lUClE COUNTY fLA.
:'~~TRICT sErtiA~ rto. ROCER POITRAE
.~ACr90I'A/II.Z.S 2Q3 3Lfi9 P1A3.7 RE ORD VERR
IEO C~~~
I hereby ce~ti(y thot os to the Following-n~~r~ed taxpoyer the requ~rements o4 Sect~o~
6325(a?, Inre.nol Re~en~e Code, hove been sot~sf~ed w.~h respe:* tc the ~axes enu- (i
meroted bele+., toqether with all ztatutory add~twns pro~~de~ hy $eciion 63?1; and ~ yl ~~T~ t
that the lie~~ ~or such to:es nnd srotutory oddit~ens has rhereby been relecsen. Tt,e ~ 1
proper ofFicer in the ofFice where not~ce of ~ntemol revenue tax I~en wos f.~ed on I
.i~rn»rv ~y , 19_.~.._. ~s hereby a~fhor~:ed to make no!ar:on
on his books to show :he re~ease of so~~ ~+en, ~~soior os the I~en relafes to the 2~~
following toxes. _
tiAME OF TAXPAYER
Jaw~s L. aAd Fsrr~l4 J. 9tith (
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~ ~SIDENCE
io~ s. 35t~
' CLASS OF TAX UNPAID BALANCE
~ Ta~ Rtturn Form No.l PERIOD ENDED I! ASSESSMENT DATE ~ !D~tiTIFYING NUMBER OF ASS~SSMENT
s (01 ±b) 1 ic! I ~d) le1
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- 1040 12-31-~9 j o~2g~•~0 ~ 2~K-a~-51~18 1,614.42
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h ~ A C E O F F i L I N G- - -CIA'rk~ CS7'd1L~.L C~
s.s~s ~i. c~? T o~ A s z.6i~.az
Fort ~ia~rc~. Flerl~da - I -
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iTNES~ my hand ot Jacksonville,_Floa~ida _ on this,
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: e _ lbth _ dvy of _D_cember- - ,19 _ ?1- -
- - - - - - - -
. ~ ro~r Y~ILL ~~J
:~^~ATURE - ~ ----------jTIT._E
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~ aCk L ~ Ch~g~ 9oeCial Pr~ urr•_s ..gff
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~hOTE~ , icare of o4F~cer ~~•F~o•~:ej by lo» rc. •~te ~.0~1-~3-. :~s s.,o• esse^t~~~ ~o'~e .o!~d~ty o~ Not~ce of F-deral To. l~_r. C+.C.M.
.419, C.B. 195o-51, 125.:,
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PART 3-To be used for recording purposes
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