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1 OflARTMENT Of 1fE TlE~J~Y~VTEWAL ~EvENUE SERVIGt For Opliora~ Ute dr Re~cordng Ol~cs
Form 668
~~v ~-~o~ tBtTlKATE Of REl~EASE OF fEDBtA! TAX.UEN s. u~c~c couNTr Ft~.
p~~R SERULL NUMBER ' ROCER Pa+i1tAS ~
2 0 2 24 CLERK CIfiCUiT COURT
~ RECO?'~ Vf~i~F1ED
~ hueby oettify thut os ro the fdbwing-named roxpayer the requireme~h of Section
~ 6325(0). Internal R~venue Code, hove been wtisfied with respect b the tmces eiw- 11.. r' f ig ~~1 ~
i meroted below, together with ait statutory additions provided by Section 6321; and 1'MR
! Mat the fian for such raxes cnd s~un,rory addihoos hos thereby bcen released. The
' proper ofF.~cer in ths oA'ioe where no6os o miernal revenue tax 1'~en wos filed on
~ November 1 , 19~. is hereby auifwrized to diake notation ~49~~
~ on his bcoks ro show the ~elease of soid lien. insofar as the 1"~en relotes b the folbw• .
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+ r~ oF v?x~r?Yet t i~~ L 16a~~e
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; RESIOEMCE ~ ~ ~
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E - UNPAlD BALAt~CE
KIND OF UX TAX PERiOD ft~E~ ~?SSESSMENT DIVE IOENi1FY1NG NUMBHt OF ASSESSMENT
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t Pl/1CE OF RUNG ~
~ ~ ToT~u s 3.000.00
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~ ! fan P~er~ce. flond.
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~ WITNE55 my hond ot 3acksonvi2le Florida , o~
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~ ~1e 28th ~y of February , 19 7 3
~ ~ OR _
~ SIGNA RE i1TLE
ra Chief Special Procedures Staff
~ (!~1pT . ert~ficate of o~c~1 ou~hor.zed br law so take acknvwleogmenh is oot esser?tiol to tt~e vaf~dity of Not~ce of Federot Tax tie~ G.C.M.
~ 9. C_6. i958-51, 1:5.)
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PART 3--To be used for recording purposes s s
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