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Fom~ 668 oEr~ttMErrt oF n~ n~~Nnr-o~ttE~rut ~vera~ SEtyicE For Op~o~wl t1,. Ar R~oo.dnp 01Ra ,
(REV. 1-70) C~T~iCATE OF RELEAfE Of ~DERAI TAX t!E!i
DISTRICT SERIAL NUMBER
Idashville ' 206 06 B1 1 P~2
I hereby ceriify that as ro the following~rwmsd roxpayer the roquiremerds of Section ? j~~ ~
6325(a), Interna) Rsvenue ~ode, have bse~ aatisfied with resped to the taxes enu- ~ iT. ~ER p~~
merated below, togetl~ with all statutory additions provided by Section 6321; ond ~LE~R C1r~CtltT CO~AT
, that ths lien for such taxes and statutory addi6ons i~os M~ereby been releosed. The RfCORO YEAIFIEO~......~
proper oflioer in the ofFioe where notioe of internol revenue tax lien wos filed on
March 23. , 19~1, a heneby avN~orized to moke notation ~ ~
on his book: ro show ths release of scid lien, insof~ as ths lien relotes to the follow- ~
ing roxes.
NAME OF UXPAYBt
Than s C & Gl ~i"
RESIDEPICE
7009 Wellington Drive
' Knaaville T
UNPAID BALANCE
KIND OF TAX UX PERlOD END~ ASSESSAAENT DATE IDENTIFYING NUMBHt OF ASSESSMENT
; {a) rol kl ld1 (e1
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k Id.~O I2-31-69 8-].1.~-70 I~llc-32-??Ol 20, 022.6?
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~ ~?cE oF Hur~c
~ Clerk~ Circvit Court TOTAI i 20 p22.67
- St. Lucie i.aunty ~
Ft. Pierce Florida
~ Jacksoazville Florid a
VNITNESS my hond aF ~ , on tfiis,
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~ ~1e 17th ~y of March , 19 72 -
SlGNAT T1YLE
ack Durant Chie.f cial Procedures Staff
? (NOTE: CertiRcote of of~'icer authorized by !aw ro roke ocknowledgmenh is not essential ro the validity of Notice of Fedad Tox lien G.C.M.
' 26119, C.B. 1950-51, 125.)
PART 3-To bt used for recordinp purposes S~~ ~~..Vll~
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