HomeMy WebLinkAbout1783 _ _ - ~ - - . - - , . . W., t - , . - - - - - _ _ ~ _ . _ . > --eyr}~~esAl~'!"" s
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~ F~ ~ OHI1R'f~AE1ii Of 1FE 71EA5URIf
MHNK ~EVBrUE SHVICE ~ Far ll~e !y R~oon~+D OIRa t
(~v t-70) . CQT~KATE OF ~BEASE Of FED~AL TAX I~!
' Di5"TitiCT Ji~~~ ~'b~,~g 18 P414 # VE~ ~ . -
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' I hereby certify that os ro the followin~-namsd tnxpo~?er the roquitements of Section 1j'
~ 6325(0), lnternal ftev~enus Code, have been safisfisd with respect to' the roxes enu- ~~t ~
merated below, toge~ with all statutcry additions provided by-Saction 6321; a~d !0~ ~
( thot ~he tien for such taxes ond statutory add'dions has thereby been releosed. The ~
~ proper o ~ where Qf mbmd revenus tax lien was filed on
~ ~c~~~ j9
73 , it heroby auN~orized to make oototion
~ on his books ro sF~ow the release of wid I'~en, insofa as the lie~ rolotes ro the follow- ~
~ ing taxes. -
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NAME OF TAXPAYER
; Q~M~rM~ Is~ ~
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, RESIDENCE j'O ~ ~
~ M!M ~+~l~
UNPAID BALANCE
I KIND OF TAX Ti4X PERIOD ENDED ASSESSAAENT DATE ID~ITIFlfING NUMBER OF ASSESSMENT ;
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PIACE OF RLING
: Ger~c, CirCUlt COwt TOTAL i j~7~r1=
g° 9t. Luc+~ Co~u~l
Fort Pt~os. Flor+d~ -
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Jacksonville, Florida , o~ ~,a, 3
WITNESS my hond ot
d
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~ 14th ~ of 19 74 f
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SIGNATtNtE ~ ~ -
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Jack Durant Chie f. Special~ Procedures Staff kb ,
(NOTE: Cut~tate of ovtfiorized by low to take «knowledgmenls is not asentid to the volidihr of Notice oF Fsderd Tmc lien G.C.M. '
26419, ~.B. 1950-5 12 ~ Ca ~ ;
PART 3-To b~ us~d ior ncor~np purpos~s E~~~
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