HomeMy WebLinkAbout0599 . _ _ _ . . . . . . _ 35048~? . r_ ~ G_- -
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Foi1Y+ 668 oEMn«1EN1 vF n~ iREwwer-NtE~JAI lEVE~E seN+cE w. opiono~ th. M R.co?dFns oiKce
i ~aEV 1•70) C~TIRC~IE Of REIEASE OF fED~AI TAX U@I
f1~f0 ANU NtCOAoE0
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OAE 194 P 2774 St. l,uClE CoUMt1? f~~
f IIOCEF ~qtTRAS
~ 1 herobr cefify lhat os to the following-nomed taxparer 1he requirements of Secfion CtE1~R Ct ;~;UIT COU ~,L!/~
~ ~FCpI~O YE~ FIEp~...~+~,~y,~
~ 63Z5(ay, Intemat Revenue Code. have been satisfied w~th respecf ro ths roxes e~u-
~ _ merated below, togethe~ with a!1 stctutory odditions provided b~r Section 6321; ond
that ths lieo for such roxes ond staturory addilions has thereb~r bee~ roleosed. The ' 2 s~ P~ ~1~
pruper 4ft'ic in the ofFice where nofice of mkrool revenue fax lien was filed on _
~ttS. 14 ~ , 19 ~1 , a hereby authorized ro nioke notatwn ,
on h~s books ro show the rdeose of sc~d t~en, i~uoEar as the tsen retaes ro the folbw- -
~ '"9 tmces. .
' NAME Of UXPAYER
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3~~1~~
~ ~~ar~ n~e+~~ ~r1i
UNPAID BALANCE
KIND OF UX TAX PERIO~ ENDED ASSESSMENT ~ATE IDEMIFllING NUMBER Of ASSESSMENT
tol (bl lc) (d) (~l
1 3~ 3~ ~-~6.6T 1~~-i~t?~6~ 1~i?.66
4 Z~
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! PLA~E OF F1lfNG ~
~ j~ j~~ TOTAL S
i ri!t Tl~M~ ~!!r
WITNE55 my hand ot Jacksonville Flosida , on ~h~s,
~ 4th day of 11o~re~ber , 19 76
gaox
~ ~fi0 ~E 5
SlGNATURE TITIE
Jack Dur~nt Chiet & cial ro d re aff
(NOTE: ~erti6cate of otf avthor~zed by !aw to roke ocknowledgments is not essenhol to the volidily of Norice of Federol Tox Lien G.C.M.
2bA19, t.8. 1950-51,
PART 3-To b~ used for ncordinp purposes r~ ~