HomeMy WebLinkAbout1691 ~ -
F 668 DEPARTMENT OF 1ME TRE/lSt1tY-MElNAI ~EVENUE SEMCE Fa oprwrwl Us By Ra~ord.g o1Rc.
~~v. ~-~bl • CERTiiCATE Of RELEASE Of fEDBGI TAX UEt~I
DISiRICT SERIAL NUMBER ~ C/
239Z04, Bk 206, Pg 2670
I hereby certify that as to the following-named taxpayer the requiremenh of Sectian
G31~aj, internai i~evenue ~ode, hwe been sohstie~ vinti~ respect to the ~axes enu-
merated below, togeH?er with all statutory odditions provided by Section 6321; and .
that the lieo for such tanes ond statutory additions hus thereby been releosed. The f ~EO AMD RECOR~E~1
prnper ol~'icer in the oli'ice where notice of iniernol revenue .tax lien was filed on ~~~E COUNT~ FLA.
ROCER POITNAS ~
October 4 , 19 72 , is hereby authorized to ~noke nototion Cl~= F~,;;J,T COl1RT
on his books to show the release of said lieo, insofar as the lien rolates to the follow- a fr - r r, E.. , E n
ing taxes. _ ~
NAME OF TAXPAY6t ~ 1~ 9 34 ~M
RESIDENCE ~~S
Rauis 3~ H~Ot 4615 -
~vPa~ ~?uwcE
KIND OF TAX TAX PERIOD END~ ASSESSMENT pATE IDB~ITIFlfING NUMBER OF ASSESSMENT
(a) Ib) k) Idl lel
; io~o r~a~ ia-si-~n oa-os-n ~o aa a~ao s ~o.~o
~
F
~ ~
n
P
~
~
x
i
F
~
''1
d
x
s
5
z
PLACE OF FILING
~
CI6rk: G1rGt13t COtlr~ TOTAL S
S~t. 1.uGie CO~lty 590.'70
WITNESS my hand at Jacksonville, Florida , on this,
~
<
the 13th ~y of_March ~ ~q 75
~ SIGNATtJ~:e ~ ~ , T1TLE BO~ PAGE
~ ~Zv,t' ~,L~.
' _ Jack Durant Chief S cial Procedvres Staff
` ,NOiE Certificote of oEi'~cer n~ cr ed by law to take ocknowlecigments n nof esserd~o+ to the validity of htotice of federol Tox lien G.C.M.
26G=~, C.B. 1950-51, 125.) ~
~ P4RT 3-To be used for recording purposes
~
~
~ 4
~g. }Y ~ ~ ~ ~ ~
~~e2_~'a; .._.a,~~. fi',z ...a _ . . . . _ ,.r. . _.....>~*w'.Y~":,