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Fo.~ ee~ o~r?eiwo~ oF n+~ u~?ww-u,i~,a~uu e~v~ sa~v~ fo?o~ww,r er ~~ev o~re..
t~.2a~1 CERT~ICATE OF RELEASE OF FEDERAL TAX l~N
DISTRICT ; SERIAI NUMBER • ~ ~
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1 h~rebY certifythata:tothsfollowing•ncm~dto yer the requi~ements oF Secii~n ~ ~R~ ~~~Flfd
6325(0), Inte~nv~ Rwenue Co~e, hove besn sctis~ied:~rith re:pect io the taxes snu- ~;Z W~~~
m~rot~d bsiow,, to~ethe~ with oll statutory addittQns provWsd by Section 6321; ond
thot 'ths `lien for such taxss ond :tatutory addiNon= hot theroby been roleo:od. Ths
prop~r officer in ths office wh~ro notks of inte~'nol rsvenus tcx Iten was filed on _ j~~~~~j~,ai
'_Tuly~-~~ _ 19 li hsr~by qulhorized to ntake notaHon ~ ~
0o his books toahowth~ relsoss oEs~id Ileo, Insofn~ os the lien relates to th• foltow-
inp toxe;. _ ~
NANIE OF TAXPAYER . .
8Z1GH B.& CAROI.B B. C001~! -
RESIDENCE ~ ~
509 l~Sayflower Lane _ ,
Fort Yierce Florida~ 33k50 -
UNPAID BALANCE
K1ND OF TAX TAX PERIOD ENDED ~ATE OF ASSESSMENT ~ IDENTIFYING NUMBER OF ASSESSMENi
~a) Ibl lc) (di l°1 -
10~i0 12-31-72 OS-04-74 223-4U-2138 1,681.86
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i This is to co rect lien releas dated October 11~ 1974
~ - in Book 232, ege 2442, #29335 ~ corded without si a ure.- ~
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PU1CE OF FIUNG- ~
Clerk, Circuit Court
~ St. Lucie County TOTA~ s 1,681.86
~ I Fort pierca, Florida
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WITNESS my hand ctjacksonville, Florida p - on thb,
~ the 24th day of October _ ~q 74
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SIGNATURE T~E '
C~t Ctlef, Special Procedurea Staff
(N OiEe rt e1 oRk•. oua.o.~.d br b.~ a wb oc~nor+l.d9~•na r no1 •s..~~al w ~h• .ol~dar d No~~c. of F.d•~a1 Tas t~sn G.CJN.
4~119. . SO-51. 125.) . ~ S'
p~i~ PART S-To b~ us~d for r~cordin~ puryos~s
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