The URL can be used to link to this page

Home My WebLink About0468 r _ . . _ . . _ Fo~m 66~ DElARTMEN~ Of iHE i~EI?SVRY-NiE~NAI REvENUE SEIlV1CE ~ fo?OP~M Usa BY R~di1P O11Pr~ , t~v. CERT~iCATE OF R~LEA3E OF F~ireiui~ i'wf"i uc~ DISTRICT . ~ERIAI NU BER : ~t~ ~~n~ ~ J~c onvills Florida Bk22 lg~77 ' ` 95746 y~' 1 ~ ClER1~ C~:•C3NT ~T 1` t 1 h~reby cerNfythota:tothsfollawing•~orripdtoYpayec; the ~equiremeMs of Secfion t~?l'• YE~:f1ED~..~- . ~ 6325(0). intarnat Revenus Cods. have bsen soNsFied with rospad to the tazss -et?u- ' ' ~ me~ated .bslow, to~sth~r with oll stotuto~y oddRWns providsd by SeNion 6321; vnd SS ' ~ thai ths lleo for :uch taxsi o~d stotutory addittoes hoa thereby been~telea:ed.'~~he - propsr ofFicer~ in ihq offlce wh~re nofks oF iot~~nal ~evenu• foz Ilen was filed-on luna 15F , 19,~., 4 hsnby outhorized to moke notatTon ~ ~ on his books toshowthe nlaose of soid ilen, insofa_~ os ,the lien relates ,to the foliow- ~ in~ toxe=. . ~ . , ( NAME OF TAXPAYER - ~ ~ ; Olrir Ols~n ~ RESIDENCE . ~ ~ i ; Rt. 2 E~c b692 Lak,axood p~rk` Ft. Pierce Florida ~ . ~ . , - _ UNPAID BAtANCE ~ KlND OF TAX iAX VERIOD ENDEQ DATE OF ASSESSMENT I~ENT~YING NUMBER OF ASSESSMENi 'i 4 (a) lb) 1c1 (dl ~~1 E f ' Withholding 6-30-59 4-21-61 61-4-165920 230.59 " 9-30-59 4-21-61 61-4-165919 415.77 ~ ` ~ I " 12-31-59 4-21-61 61-4-165918 216.17 ~ " 3-31-60 4-21-61 b1-4-165917 193.3~ E " 6-30-60 4-51~61 - 61-4-1b5916 127.29 j " 9-30-60 4-21-61 61-4-165915 90.69 . i " 12-31-60 4-21-61 61-4-165914~ 151.76 ~ ~ ; ~ i i ~ ~ - ~ ~ i i . ~ ; i ~ ~ PLACE OF FIUNG ~ ~ Ciark, Circuit Court TOTAL : 1,425.62 ~ , St. Lucie Couaty ~ o d ~ - ~ ~ W ITNESS my hond at Jacksonville . Florida ~ - on thb, ~ ~ , the_1~doy of Novamber _ 19 74 ' SIGNATURE TRIE ' ~'-~rC_.' - ~ . Durant Chisf c o d . O1F~ rtYitaN d o~lur orrllwrk~d bY lo+r b bb utaowl~dyn~~nb R nW ~sunlbl b th~ •olidRp d Notk~ of F~d~rot Tau lNn G.CJ~1. ~ .19sos1,1 s QDUf! ~ PART S-To b~ us~d ior r~cordinA purpos~s s~ ``;~n _ _ ~ . - _ ~ '4-, .