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~ FORY ~9•B OEPARTMENT OF TME TREASURY • INTEitNAI R6VENUE SERVICE
(REV. ocT. ~s~» CERTIFICATE OF OISCHARGE OR PROPERTY FROM FE~ERAL TAX LIEN ~f:-
. rs.~. 63?S!~("1.rA10~ tAe Iwtsrnd Reve~se Codd
WHEREAS,_ Sinon Klaper ~
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Of 18S So. 18th Street , City of Kansas Citv .
County of MlYSndotte State of __Kan~as ' ,
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is in3ebted to the United States for unpaid internal revenue tax in the sum of 'lleto Thousand Six Htmdred ~
Eighty seven and 17/100's Dollars(a 2.687.17 )
Iawfully assessed, to wit:
KIND OF TAX TAX PERIOO ENOED ASSESSMENT DATE IDENTIFYING NUMBER UNPAID SALANCE
OF ASSESSMENT i
taI ibI (a) td1 (e) ` _ -
94Z/2749 406, 7409, 09-08-75 091-30-5784 2,687.17 "
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TOfAL S Z 687.17 _
WHEREAS, to secure the collecti0n of. sai~ tax, . notice of the lien of the United States, attachinq to all the -
property and riqhts to property of the said~ taxpayer on account of said tax indebtedness, was filed with the
,
Clerk Circuit Court, St. Lucie County, Ft. Pierce, Florida on 3/9/76 in Bk249 ~
:
Pg2051, ~329262
in accordance with the applicable provisions of law.
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WHEREAS, the lien of the United States, E'ederal Number above , fot said tax hos attached to certain
pro~Tty d~~~~ as: ~ 3~ao-.5~ o~os~s ~oa/7 -
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Lot 6, Block 1652, PORT ST. LUCIE, SECTION FIVE, according
to the plat thereof, as recorded in Plat Book 12, pages
15A through 15E, of the Pub~b I~cor~~tb~' ~5t! Lucie County, Florida.
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