HomeMy WebLinkAbout1601 . ,
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~~g o~r?~rrt of i?+e nEnsu[r-~t[~ru?~ ~va+uE se~nnee Fo. qa+p+w? b R.oordeg O~io.
i (REV. 1-70) ~T~w~ ~ ~ T~ ~
' DISTRICT , SERUI t'IUMBBt ~ , ~ s
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+ 1 het y Thot as to the folbwing-nam~d taxpaysr ihs roquirane~h of Seclion f~T
' 6325(a), Intetnal Revenue Code, have been tatisfisd with ~aspect ro the tmces etwr t1E~~ RRiK~~
, merated below. ~o~+e~ with all ~etuMry add'~tio~a ~o~ded by ~Ssction 6321 j. ad
N~ot ths I'~ for such bxes and stalutory additions has thereby bse~ ~eleosed. The a~ 1
p~oper o~ in the .~iae where ~oti~ i~wl re~nue rox lien was fifed on ~
Qcbober 1 9~~ , i~ ~eb~ authoriud to mdce notaiion
on his books ro show the release of said lie~, insofar os ihs lian rolates to th~ follaw-
in8 taxes:
NMAE OF TAXPAYEK "
RESIDENCE
i !'~A M
; IRdPAtD BALANCE
KIND OF UX UX PERIOD END~ ASSESSAAENT DJ1TE IDENTIFYING NUMBHt OF ASSESSMENT
Ial ro1 kl id1 le1
' ~ lMN la-~rT! N~-~! Lii~~~
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~ PIACE OF FIUNG
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st. tyd~ C.ou+~t~r i~,~~
~ Fat PN~~o~. Fbr~d~a
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~ Jacksonvi22e, Florida
~ WITNESS my hond at , on this,
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~ the 12~ dar of February ~9 75
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~ SIGNATi1RE
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~ Jack Durant Ch.tef, Specfal procedures Staff
~ (NOTE: Certifica~e_of o thorized by (aw ro take ocknowledpments is no1 essenfid to th~ vdiddy oF Notia of Fed~rd Tmc lien G.C.M.
~ 26119, C.B. 1950-51, 1.) 6~~
PART 3-To b~ vs~d fo? nco~din~ purpos~s
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