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Fam 668 DEPI?RTMENt OF i11E TRE~SURY-MERNJ?L REVENUE S~VICE For Opiorwl Use BY Recordrg OIFcr
~REV_ ~a»> CERT~ICATE Of REIEAS~ Of FED9tAl TAX l1EN ~
DISTRICT SERIAL NUMBER .
ac onville 217961 B196 P2223 ~ ~ ~fi
1 hereb certi f~ot as to the foftowi cr~1F1
Y fy ng-named taxpoyer the requirements of Section ,
6325(0), lntemol Revenue Code, hove been wtisfied with respect to the taxes enu-
' merated below, together with all statutory additions provided by Section 6321; and
that the lien for such taxes and statutory odditions hos thereby been reteosed. The ~)~QC
, proper oii'icer in the oH'ice where notice of intemal revenue tax lien wos filed on ~r.r a7a~
November 1 , 19~.~, is hereby authorized to nioke notatwn
on his books to show the release of soid lien, insofar os the lien relotes io the follow-
ing taxes. •
NAME OF TAXPAYER !
H111man Perkias
RESIDENCE
1108 Orange Avenue
Fort Pierce Florida
UNPAID BAVWCE
KIND OF TAX TAX PERIO~ ENDE~ DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
(a) Ibl i~l idl (e!
941 6-30-70 6-25-71 59-2279256 .304,55
941 9-30 -70 6-25 -71 59 -1279256 297 . 70
941 12-31-70 6-25-71 59-1279256 280.58
: 941 3-31-71 6-25-71 S9-1279256 172.05
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~l.ACE OF FIlING
; Clerk, Circuit Court 1 054.88
~ St. Lucie County TOTAL ; ,
Fort Yierce, Florids
~ wITNESS my hand ot Jacksonvi2le, Flar ida
~ , on this,
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the 16th dar of August , i9 72 d~~~~ N~1,'t
z
SIGNAT RE T1TLE
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Chiie~ Special Procedures Staff
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E: Certi ~of officer ou ~zed by law to toke ocknowledgments es not euentioi to the validity of Notice o( federol Tax tien G.C.~~i.
26419 . . 1950-51, 125.) CW
; PART 3-To be used for reco~ding purposes
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