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Form 668 o~r,~t+r oF n+E n~ws~xr-r~rreeruu ~verue ~ Fo. qp+~ww~ us er R.m.a~ oA~c.
~~v iao~ CNtT~itATE OF R~LEASE OF ~DBtAI TAX tJNi .luC1E
DISTRlCT SERIAL NUMBER qOQ R POITMi
Jacksonville ~ Florida 1861 ~p?~~ O~f11R ~IRCIqT COIMT
~tECORO vER~nlO.....~...
1 hereby ce~tify that as to the following-nomsd taxparer the requiremui~ts of Section
6325(0), Internal Revenue Code, have been sotisfied with respect to fhe toxes enu- t~~
merated below, together with all statutory addfions provided by Section 6321; ond
~r for such ro~ces and s~ati,ro~r addinons h~ N~eraby been released. The 400
Proper oMicer in the QMice where ~tios of inkmal revenus tax lien was 61ed on
November 21~~_, 19.~~, is heroby authorized to make nototion
on his books to show the release of said lien, i~aofa~ as the lien relates to the folbw- ~D~~'"
el ~
ing taoces.
NMAE OF UXPAYER
EDWARD P. & BARBARn. g. CpNGDpN JR. '
RESIDENCE
Route lt, Boa Lt779, Ft. P3erce~ Florida-33lt5~
UNPAID BALANCE
KIND OF UX TAX PERlOD ENDED ASSESSMENT DATE IDENTIFYING NUMBBt OF ASSESSMENT
! la1 rol k1 ld1 (e1
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~ 1QLto 12-31-68 5-16-69 219-12-Ij~6 341.~5
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; PLACE OF FIUNG
Clerk~ Circuit ~w rt TOTAL S 3Lt1.T15
- St. Lucie County
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~ WITNESS my hand ot Jacksom~ille, F'lorida , on this,
rr,e 1&th ~y of Maa~ch 9 ?2 ~
<t
~ SIGN RE T1TLE
y; ack Dura Ctdef, Special Procedt~es Staff
~MOTE: Certificote of officer outhorized by law to toke acknowledgments is not essential to the validity of Notice of Federal Tox l~ G.C.M.
;,w
26419; C.B. 1950-51, 125.~ O R~
. PART 3-To be used for ntordinp purposes QOQK PAGE
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