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HomeMy WebLinkAbout1147 . ~--~.-r......_.~. _~.~..e-..~-,eo~.w..~.aw~~--. . - "^""y "'^'aF"'~'°. . . - . . ~ . . - ~ w'. V ' ionn 66Q , OHARTI~AEtJf OF iF1E 11~Ew9U~1?-~ttFJl~IAL ~FVH~UE SRRIIKE h~'~Y ~A . ; ~r. : 6ioy, • ~R1~KA1E Of RgEASE OF ~At TAX t~i ~ p~ - - SERIAI. Nt~ABBt ~B~~GFK - StEkl~ ~l'.~~~ ~ ~ r _ fo1lowi ' rned ths requiromenfs of Seclioh RECARL~ VE~ F ~ :1 _lieceb~?~oer~bf ? Nwt as to ti~e ng~no ~axpayer 6325(a~ -1 laevenus Code, havs liesn !aiisfis~ with ~espsct io ihs k~s e9~- ~p i ~ - ~ ~ - - ~ n~rote~ beto~w, topsthsr with all sta~u~ohr od~dions- , vidaf 6y Ssction 6321: ~d ~ YEl/ ~ ~ ~ that t~e- I~n for wcfi tances ad stalu~or~? add~io~ ~ ~e~? ~ : afiioer in .ihs otRoe wher~t riotic~ of ~ternai nsvanus tax liaq w~ ~filsd #~n ` ~4 ~ , 19~.::it hetrbY ou~horized ro maka ~wta~an ~ dn ha bootct ro s ow ~hs release of soid:tbn, uaofar.os fhs Gen nela?e: to tM folbw~ ~••."~•~r t ~8 b~ _ - ' NAM~ OF tAXFl1Y6t - ~ ~ - r ~ ~ ~ ~ ~ t ~.c.~ : - ~ ~ ~ - - - ~ ~ ~ ~ • 1 ~ - - - UNP/ND BALANCE ~ qND OF UX U1X PERIOD END~ ASSESSMENT DATE )DH~1TIfY1NG NUMBER OF ASSBSAAENT ~ ~a~ (b~ - , (c) (d~ - lej ~ . i ~ j I~i4~ f~ 2,~~w3~'!~ t~i~!'~ 1~D ~ y i - ~ ~ . i ~ ~ ~ - ~ 4 t II ( ~ I ` ~ ~ ~ i . i ~ j Pu?cE oF Rur~ _ ~ ~ TOTAL ~ ~ ~ t ~ I~ ~ ~ r yy~TME~ ~,y ~ ~ Jacksonville. Florida . ~ ~a• ' , < ~ - ~ 4th doy of December , 19~4 i - ~ SIGNATURE ~E i c Durant i f ' r c rs (NOTE: C cat otficer autho?ized bp law ro take atknow{edgmenh is n~t esserrtid to the vd'ediryr of No~tice of federd Tax lieo G.CJYL 26419, CB. 1 51, 125.) - sr Bp~ t~~ ~£a PART 3-To be used for wcordin~ pu+pos~s ~~~~,~'r~';v:.r~~ ..~s'~^~,. ?t.r ~ ~ 4+s' - `~•~'.~~9`~`-r~X*1` 3^'~ AY' ~~VS'~SS - " _ ~~i~~~~~~•rSu_~.=_~~~ F^G .a.. . e s. ~ . • _ _ .