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F«. eae-F U. S. TREASURY DEPARTMENT -+KreRH~~ REVENUe seRVrce F,, o,,,,,,,~ u,~ B,. e«a.d..q a+.«
tR~v ~4-~ : CERTI~ICA~E ~1i RELEASE OF fEDERAI TAX UEN ~ f~~~
DISTRIC? SER!AL N0.
,~i: Lt1~i 'CO -
2S41ZS' 5-219 P-2982 ROCEP. Pd~T~ .
-;E~~~II.L~ :Ztr.~'J_1 CLf~ir C='•C111~ ~ L
1 h~r~by cenify thot os to the follow;ng-nam~d toxpoy~r, ths requiroments of S~ctioe Rf.CGR`) VFRIr1E0
6325(0), Internol Rev~nue Cods, hove bs~n sotisEied with resp~ct to th• tox~s eou-
merated b~low, toyether with all stotutwy udditions provid~d by Ssctior~ 6321; ond ~?1
thot the litn lor such toxes ond stotutory odditions hos tMr~by been releosed. The 4
proper oFficer in the office whers notice of interoal nvenw to: lien was filed o0 1~y
~"~8Y 10 , lq 73 , is hereby uuthori:td to make nototion 26 ! 1! S
on his books to sF~ow the reieose of soid tien, insafar os the lisn relates to the
followiny toxss.
NAME OFTAXPAYER ~
:alt~r E i~,tt~Cy
R ESIDENCE
~ 12~1~^ tiosth I?th :its~~t
Fort ~ierco, Flarida ~~0
UNPAID BALANCE
TAX FORM NUMBFR PERIOD ENDED ASSESSMENT DATE IOENTIFI~NG NUMBER OF ASSESSMENT ,
(o ) (b ) (c ) (d ) !e )
i'_~ll' If:C4L1C j.~"~.'.l~~j~j `''~r~?1~~ ~~Z ~i'. ~3~' S +~j~•~'~
i
PLACE OF FILING
; Cl2r~: ~ C;iCGiLlt ~:Jil~t
` ;j~• ~.i1C~E` COLliitw/ TOTA~ s
~ i'~"'t i~~~TC~ ~iDrlt d
' NOTICE OF fEDERAI TAX LIEN REfILIN6
E - - - P1690
E IRS SERIAL NUMBER _ RECORDER'S IDENTIFICATION No. 255352 ,B214
;
` CIArl~, Circuat Court
; NOTICE FIIED WITH _ _ _ DATE ~y_2S, I973
; TAXPAYER'S ADDRESS _ - - _ _ - - _ - _
(If different than shown above)
~ SIGNATURE _ _ _ TITIE ~~'}~-'='Y1~O2 = C'_i"5 ~visf on
- - - -
~ ~ - _ _ _
~ WITNESS my hand at __`__JBCicsanville, Florida , an this,
t _
~
= the---?4Lh ^'~tober - - 19_73
£ ~
; sicNa J k Duran v~ T~TIE _~hief, Special Procedures Staf f
4 . . _ . _ _ . _ _ .
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(NOTE: Certificate of office~ outhorized by low 1o toke ocknowledgmenfs is not essenfial to the validity of Notice of federal Tax lien
G.C.M. 26419, C.B. 1950-1, 125.) 4~
; $v~!! ~~?~G.V r'~ kds
3
PART 3-To be used for recocding purposes -