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~ Form 668 oEN~tTt~AENT oF 1HE tlEwwer-ME~I+Ai REYNiIIE S~VICE For qpriond lbe R ;
~ ~~v ~ao~ CBti~iCATE OF REtEASE OF ~ED6tAl TIUC tEN `~c~~ c uN ^ '
; p~~~~ SBtWI NIMABER IIOCER POITllAS _
i CIERk CIRCUIj COUItT ~ ~
~ AECOIlO VERtiilEO......~•+~
! I hereby certify that cs to the folbwing-rwmed roxpayer fhe requiremenh of Secfion p k
~ 6325(aj. Intenwl Revenue Code, have been sotisfied with respect to the taxes enw 3 ~1~11
~ merated below, togeil?er with oll statutory additions provided by Section 6321; ond
that the lien for such taxes and statutory additions has N~ereby beet? released. The _
o n the op'xe where notice of intemal ~e~renue tmc lien was filed on
P.~~1'Y~s , 19~_, a hereby cuthorized ro moke notation -
on his books b show the release of said (ieo, iosofar as the lien ~elates ro ths folbw• ll.~iii~4G?~~,1N~
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, ing tmces. _ _ _ . .
NAME OF UXPAYER
~ 252;4Z3
~ Mlilliaw L and Lois Bniley
' RESIDENCE •
~ 3116 Memory Iane ~
~ Fart Pierce Florida 334ri0
' ur~Pa~ enuwcE
j KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDHdTIFYING NUMBEIt - OF ASSESSAAENT ;
; ca~ ro~ <<~ cd~ ~ei i
i 1~4~ 12-31~?1 7•24•?2 413-3U-9626 31~O~J0~58
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Pt~,CE OF FlUNG Cl@rk~ Ciro30t Co~rt
~ ' St. LUCi@ COUt~ty TOTAL ;1,060.58
Fort Pierce, Florida
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~ WITNESS my hand at ~St Pal~ H@aCh, FlOride ~ , on tha,
the ~ day of APril , 19 73
' URE ~E
~ S C G~a
(NpTE: Cart;6coro oF oiFicx outhorited by law to tofce ockrwMrledgments is not essenrid ro the validiyr of Notice oF F~sderd Tmc lisn G.C.M.
' 26419, C.B. 1950-51, 125.) e~
~ PART 3-To b~ us~d for r~cordirw P+nP~ 600K~~J PAGf
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