HomeMy WebLinkAbout1366 Fatn 668 oE?nitr~rrt oF ~~wwmr•.NrEm~uu rtFVErrue SErtnCe Fa. qx~a+ol, Uae By R«wdmg O~ce
~aEV. ~an) ~ptTW(pTE OF REIEAfE Of FEDBtAI TAX l~N fILEO Ah0 RECORDEO
DISTRICT SERIAL NUMBER SL WCIE COUNTY flA.
304371 B 237 P 2323 • CLERK C RCU1T COURT
I hereby certify thut as to the following-named taxpayer the ~equirements of Sedion RECORT YERtF'IE~
6325(a~, Intemal Ravenue Code, have been safisfied wiih respect to the toxes enu- ~
merated be~aw, tc>geetl?er with all statutory additions provided by Section 6321; anrl I 14 PM 75
that the lien for such taxes and statutory additions hes thereby beeo releosed. The
proper Qf~fxer in t off'ice where notwe of internal ~evenue tax lien was Fled. on
l78rCh 2~th , 19~_, is hereby authorized to niake notation
on his books to show the release of wid lien, insofar os the lien relates to the follow- ~
ing taxes. ~.~~D
NAME ~F ~PI~ER _ V
jw~s ~~s
RESIDENCE
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~i. Pl.f~'Ca - ~L 39~r2
UNPAID BALANCE
KlND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lal Ib) kl ldl (e}
! 941 09~3G?7i 12•23•74 ~09~220 3~1.82
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PLACE OF FILING ~ ~ ~
a ST- L~IE ~VM~ TOTAL S 3~7~$2
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~ WITNESS my hand at JaCksomill,gi Flori A , on #his,
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~ the 9th day of April , 19Z~
SIGNATURE TITLE
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~~~Y~~''` S ecial Procedures Staff
(NOTE: Certificate of ofi'icer autFwrized by law to toke acknowledgmenls is not essentiol to the volidity of Notice of Federd Tax lien G.C:M.
26419, ~.B. 1950-51, 125.) 8~~ ~~~w~T.
PART 3-To be used for recording purposes ~+U
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