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~ form 6d8 DEMRTMEM Of! tF# T~EASUN-N1EddAl REVB~NJE 5lRn[E ; ~ 1'or Opfiaaf,l/1e 8Y R~^9 ~
, ~REN. 1471) ' ~QT~w~;~ ~ T~:~ ; r:, i
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! 1 hereby cextify thot os to the followi ' ~ io~ayer the roqviremenis of Seclion _ t
4325(0),~ Intemal Rev~enue Code, have~~sen =~tisfis~ with respect to ;the taxes ~w- ' . ~
, ~erated° below, together with oll statutory o~fiorq; provided by Se~ion 6321; ahd .k '
tliat thilie~ for such taxes and stoluto[)r o~lia~s<has tF~eby been releosed. ~'~he . -
proper officer in the oli'ioe where notiei ofYi~terrpj revenue tax lien was~ filed~on :
~ •-Hoventber 12 , 19_Z4~~,is hereby outhorized ta irioke` notaiion .
oh his books to show the release of said (ie~,~i~ofar as the lien relates b the folfow- _ ~
ing tOxes. - + - - _
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` RESI NC ~ ~ ~i
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1 KlND OF TAX TAX PERIOD ENDED DATE OF ASSESSMEN , IDENTIFYING NUMBHt OFPASSESSMENTE ~
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~ PLACE OF FILING ~
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TOTAL ; '
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~ WITNESS my hond ot Jacksonvi2le. F2erida , on fhis,
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~ the 12th ~y of February 19 75
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~ SIGNATURE T1TLE
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~ ack Durant Chie.f S ecial
F (NOTE: Cert~ficate of officer ov by bw to take ocknowledgments a no~ essentid to the voliddr of Ndice of F+ederd Tmc lien G.CM
~ 26419. C.B. 1950-51, 125.) R
~ PART 3-To bs us~d for recordin~ purposes PJ~~~~
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