HomeMy WebLinkAbout1967 . . ..~•v ~...~.Y!'~' V . ~ . . _ . • : • . a .t . - ~ - ~ r-. ~ ~ ~s
F«m 668 • o~n~r oF n~ nEwsue+r-i+hn+~u rEV~ setvicE ro. qorlo~d u,. M Reco.dr
y o1Go.
~ (REV. 1-70~ «T~KAh O~ R~EASE O~ T~ ~ FILED ~Nt~ RECOROE
DIST@l~,T SERIAL NUMBER ST. WCIE COUNTY fL~
~ 202299 8188 P2948 ROCER ~31TRAS
. the uiremenh of Secian RFCOP.a YEpklED C~URT
i I hereby ce~tify d,at os ro the folbw~ng-rwmed roxpaye~ req
~ 6325(oy. Inlernol Ravenue Code. hove been sotisfied with respect to ths taxes aw- .
I merated below. I~ogeM~r with ol) statutory odditions P~ovided by Section 6321; a~d ~'S ~Q si
' that the liea for such toxes and statutory add'dions Fws tF~eby been roleosed. The
proper o inth~ oH'ic e notios mternol -evenue tax 1'~ wos filed on _
~ecember ~1~ ~ ~ q~, a~y puthorized to diake notation
~ on h;s books to show fhe releose of said 1'ien, insofot as the lien relata ro the fdbw-
ing taxa.
; NAM~ OF UXPAYER s'~D
i
; P.ESIDENCE ~ ~ ~ ,
' !!!M~ t~el~3~?'~
, UNPAl~ BAIiWCE
` KIND OF TAX TAX PERIOD EN~E~ ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSAAEM _
~ (a~ lb) ~`1 ~dt ~el
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tf i
6 '
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PL~CE OF FIUNG 61~it .
~ ~ L~a TOTAI S
• ~'trs ~~0~~ -
v9TNESS my hand at Jacksomrille, Florida , on th~s,
~e lOth ~r of July ~ ~ 9 74
SIGNATURE TITLE _
~C' ~C": C 2 ~ss ~
Jack n Chief, Special Procedures Staff
(NOT ert ote of officer outFwrized by Iwr to toke ockrwwtedgments is oot ~sentid to fhe volid~y of Notice of Federd Tmc Lien G•kb
26419. C_B. 1950-51, 125.) . Q
PART 3-To bo used fo? recordiny purposes 600K ~V PAGE ~ c7~ !
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