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_ Fortn 668 OEP,WtTMENT OF iHE 7tE/?S11RY-NTEwAI tEVENUE SERVICE For Oprionol U~e By Reoadny Of6ce
t~v '.~~o} CERT~iCATE OF REIEASE Of ~EDBtAt TAX LIEN Fu Ak
ST.IUCIE CQUNTY FLA. -
DISTRtCT ' SERIAL NUMBER ROC~R r'01TRAS
272728 Bk222 P 2669 CIERK tlriCU1T COURt ~
( her y cerii at as to the following-named taxpayer the requirements of Section RECORa Yf ~ F~ED
6325(0~, Internal Revenue Code, have been satisfied with respect to the taxes enu- t
merated below, together with all statutory odditions provided by $ection 6321; and ~ 47 ~
thot the lien for such taxes and statutory additions has thereby been released. The
aroper officer in t of~'ice where notice Q~ internal reve~ue tax lien wos filed on
January ~6, 19 /4 ~s hereby authorized to make notation 2'76503
on his books b show the release of wid lien, insofar os the lien relates to the follow-
ing taxes. .
~tAME OF TAXPAYER
RESIDENCE
~i~~s J
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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' 10i0 12-J1•72 ~~2i-73 Ol!-+?~2-~191 i.K7.0~
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CIsr1(. CkCUR ~~ouit
Y~ S~ E.ucie Coca?ty TOTAI. S
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~ ~art Pierce. Fbar~cfa 1.i6~.0~
WITNESS my hand at Jacksoaville Florid8 , on this,
the 7th ~y af Merch , 19 74
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' SIGNATURE TITLE
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- Jack ant Chief S cial Procedurea Staff
(NOTE: ti ote of officcY avthorized by law fo toke acknowledgmenh es not essential to tFie validdy of Notice of Federd Tax Lien G.C.AA.
26419, . . 1950-51, 125.~
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PART 3-To be usQd for recording purposes F::~ ~r~ F~ALE
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