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FORM 7~O OEPARTME;;NITED STATES ESTATE TAX NUE SERVICE -
IREV. AUG.~19701 CERTIFICATE OF RELEASE FROM PERSONAL LIABILITY
DECEDENT•5 FIRST NAYE ANO YIDDLE INITIAL OEGEDENT'S LAST NAME DA E OF A PLICA ION
Ch arles it. ~Jood :tarch 20, 1974
DEGEOENT'S SOCIAL SECURITY NUMBER EMPLOYER IDENTIFICATION NUMBER FOi1 ESTATE -
094 24 0727
DATE OF OEATM RESIOENGE ow+t e AT TIME OF pEATH
June 24, 1973 Ft. Pierce, Florida
TO • Name ond address of applicant (Number, Str~et, Cit~r or Town. Stote, ond ZIP Code) ~
rSun ~a~k of St. Lucie County ~
P . O. Bo:c 8 '
Fort Pierce, Florida 33450 ~
L
1 cedify that the estate tax for the above decedent's estate has been determined and paid. This cedificate. issued in
accordance wiFh section 2204 of the lnternal Revenue Code, releases the persons whose n~ames and addcesses are
listed below from personal liabilit~ for any deficiency in estate tax that may be later found due from this estate.
Su?~ Bank of St. Lucie County
P. 0. Box o
Fort Pierce, Florida 33450 ~f~~.~D ~~~a~ ~
jl106Ek POITR ~ ~
CiERK Ct~GUIT ~QYRT
RECORD VEP.if~EO
935 Cypress Vi~ ~ ~1~ PN
Ft. Pierce, Florida 33450
29~.619
T IT LE OATE
SIGNATURE
t
~rn,,?,c.(,r DISTRICT DIRECTOR AUG 1 5 1974
DISTRIGT OR FFICE
1ACKSONVILLE, FIQRtDA 32202 de~~~
IiiS ~ O.C. cPO: is~i o- tat-ou FORM 7990 ~REV. 8.701
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