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Form 66B DEPARiMENT OF TtiE TREAAIRY-NTERNAI ~EVENUE SERVICE ~ For Cpl~onal Ute BY Recordng OfFce
~eEV taoy CERTIFIUTE Of RELEASE Of ~FDERAI TAX llEN
DlSTRlCT SERiAI NUMBER 2 2 ~ E~
O~TRA~
i hereby certify thot os to the following-named toxpayer the requiremer~ts of Section CLERK CI:.CUIi COURt
6325(a}, Inlernal Reyenve Code, have been satisfied with respect to the taxes enu- ?FC4R3 tlfF.tt'IfO.,,...,...~
meroted below, together with all statutory odditions provided by Section 6321; and p
M~ot the lien for such taxes ond staiutory oddfions has lhereby been released. The ~e ~ ~'11 i M~j~
proper ofi'icer i~~ of~e where notice o mternal ~evenue tax lien was filed on
Nove r~ i. , y 9 7~ hereby authorized to Molce notalan 2~5~~
on his books to show the releose of said lien, i~ofar as the lien ~elates to the folbw- ~
ing tmtei. ~
NAME OF UXPAYER y~113~ j j,r,~ ~
~y~r~cF ~60b J
r~c n.~o. r1 ~sQ
UNPAID BALAN~E
; ~ qNp pF TA)( TAX rERlOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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RACE OF HUNG
~ cieri~. Cm~?+t Cant 1 ~3~.44
St ~uc~b County TOTAL s ~
- t asi P'rerce. Ftor"sds
WITNESS my hand ot Jackeonville Florida , on t?,is,
the 20th day of February~ ~q 74
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~ SIGNATURE _ - T1TlE
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y~y Ja D1~rant ' Chief~ S~cial ProceduzeA Sraff
K~= ~?~it"~TE~ ertif~c9+~ of ofii:er outF,enzed by I;Jw to t:zRe ec4nowlcdgmer~ts ~s ~of essenLol to the val~d+fy of Not~ce of Federo~ Tox l~en G.C.M.
r;;~ 26314; E.&-fi450-51, 125.~ ~
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PART 3-To be used for recording pvrposes
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