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Form 668 D~AIt?MEl~1T OF.
iME 1nEl?StlRY~IiEaAL REVBdIlE 5lMCE : ~ Fo? O~Miond l/~ Ay ReowdinD O~ice
~R~t. io-~~~ CQT~tCATE Of RBEA~;~f fEDBAL TAX:~i ~
pISTRICT SERtAI -
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i Q325(a~r°Intenwl Reve~ue~Code, hove been~sahsRs~! wnth resped io:tl~e.tcixes ~u- '
~ - merated~bebw, togetFbr with all stotWo~y aiddfion;~~xovided by Secbon 6321; end _ ~
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rt~at the.lien for wch roxes end stotutory o~lions;hos it~eby bneii released. ~he t~ ~
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~ proper _oAice~ m ol~icg where notice~f FirNe~n~ revenue rox lied wasifikd~on .
~ . NO~I~er 9 , ~ 9
4~- j~s F~e~eby outhorized to didce notalion
I on his books to`show the ~deose of said.lieer`ie~ofa~ as fhe lien relates to the follow• ~
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~ NAME OF TAXP~AYHt : ~ ~ . , _ ~
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; ~ Nillias fl. Tlwapaon -
~ RESIDENCE . ' ~ :
i : Oor. 6th St. 6 Ave. "D";
~ lort Pi~rc~, F1a. -
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- - UNPAID BALANCE
f IC{ND OF TAX TAX PERlOD EN~ED DATE OF ASSESSMEN 16HdTIFY1NG NUMBHt OF ASSESSMENT ~
' (ai lbl ~d~
~ ~ d -10-45 IInkaoen $ 136.18
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f ~ Incofe 1944 8
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; PLACE OF FILING Clerk, Circuit ~ourt .
~ ~ St. Lutie County TOTAL S 136.18
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~ ; Ft. Pierce, F1a. :
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Jacksoflnrills. F'~r{da , on this, ~
WITNE55 my hand at
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the 21it day of__M~17 , 19 74 ~
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SIGNATURE ~ ~
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(NOTt: CutiAcote of olFicer auNwraed br law to tdce adcnowladgmenls is not essentid to the vdidity oF Noeite of federal Tax lien G.C.M ~
26419, C.B. 1950-51, 125.) B~X~ ~
' PART 3-To bo us~e! for r~eordin~ purposvs ~
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