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Fam]92 OECEOENT'S fIRST NAAAE ANO MIDOLE INITIAL DECEDENT'S lJ?ST NAMIE
~Rev. ou. ts~o? HARRY G TI6IBERLAKE
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t~~ ~r'~~ ~~e DECEOENT'S SOCIAL SECURITV NO. FOR ESTATE ENTIFICATION NUh6ER OATE OF DEATN
338 03 6608 - 7-26-73
~~f j~?"1~~ RESIDENCE tDO1fA1CILE1 AT TIME OF DEATH
~'Y/
1971 S. E. 5th Court
Pompano Beach, Florida
United States To
Certificate N~~ ~ ~ ~ ~i
" APPLICANT ~ ~rtrude Timberlake, Surviving Spouse =
R e leasi n g ADORfSS
lNumbei, sr.ee:, c% Thomas L. ivewman, Esq.
Estate Tax Lien ~;~y Post Of f ice BoX 22a5
Ststs and Pompano Beach, Florida 33062 ~
2/o CoOel
L J
I certify that the estate tax for the above decedent's estate has been fully paid or otherwise provided for. This
certificate releases the lien of the United States imposed by section 6324 of the Internal Revenue Code on the property ~
described below:
Lot 10, Block 3, of U^dIT '~IG. 8~ of LAKE~~OOr _
PARK, St. Lucie County, Florida, as per plat
on file in Plat Book 11, Page 47 of the Public
Records of St. Lucie County, Florida.
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TI1lE DATE
SIGNATURE OF J ~
CERTIFlIING , _
OFFICIA~ ~ District Director 1-25-74
DISTRICT OR OFFIC£ r' ~Z3 PaVC~~~
Jacksonville, Florid E•-~
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t' c(7p~-£R.`:)iF~T PRI`.TING OFFiCE : 19i0 O- 108-070 FORM 702 IpEV. 10•70~