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Home My WebLink About2572 i . ~a ..wr . , . . . . _ - ~ . - . . _ . . . ~ . . _ ~ i ~ ~ for Oprionol Ua Qy R~cad~p d1b FcJf~1 663 DEMRTl~A@Ii OF 11E 11eEA511lY-ai19~1K RFVENUE SERVICE i (RE1F. 1-70) ~ ~j~A~ ~ ~ ~ T~ ~ ` i a~ _ sr~?c rx~r+~~ ' A ~~x ~ artify as b!he fofbwing~namd taxRoyK ths roqui ~ts oro~ ~ C~D 11~R1F1E0' 6325(a), Internol~ with all ~ addiiions p' v~nth rosP~ Seciioo 6321 s and ~ mKOted bslow, toBMhar s~°h'~°r'l~ h~ ~ ~ Hat 1he I'~en for such toxes and siahrlory add'~lions ~ib ~~2~ whers eotios u~iernol re~?ue rox lien was fdsd on ~ ~S@pt er , 19 q hsrebp ouihorized ro maks notation ( on ha books to slaw the roleasa of said lien, insofar as the t'ie~ reldes to ifis fdlovw ~~a3 ~ ~ ( NI1ME OF UXHAYHt - j . ~ t j ~ ; ~i a~ ~ ~ - ~ - IAJPAID BJLLANCE ! KIND OF TAX TAX PERIOD ENO~ ASSESSI~AENT DATE tDENTIFlfING' iVUMBBt OF ASSESSAAENT ~ (a) lb1 ~`1 ~d~ ~8~ ; ~ ~ ~ , ~ ~ Z.y,,~.~ ~ :R f+i 5i1~ ~l - ; _ ~ , ; ~ f " I ; ; ; . ; . ; ; ~ ( ~?cE oF tiur~c - ~ . T07AL ; ~ . i WITNESS my hand at Jacksonville, Florida , on this, } ; ~ llth of October ~ ~q 74 ~ _ SIGNATURE ~E } . ~ Jack rant Chief, Special Proceduree Staff 3 (NpTE: of ol8cer outhorized !ry law to take «knowledy~^anfs is not ecseMid to the voled~lp~of ~of fyderd lien G.CJ~A. ~ z~~9, so-s~, ~~s.~ ~ e00K~ IGe7~ PI~E~~ ~ PART 3-To b~ ~es~d fa nco~p pu~pos~s ~P ; - - - - _ '..:~i ?s ~ t 'c ~ ~ f b 2' ~ ~t .w d~~.f~ - 5..~~ .e~s= . .y.,£ _ 'a. . .4~ ~ . . ~ w~_ _ .r~t. .