HomeMy WebLinkAbout0782 - - ~ -
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Fonnaee o~M~t oc n~ ~r wrewu For Opeional Us~ s~? R.~ad4r~p oMias
~REV. ~-~n CERTIFICATE OF RELEAiE OF FEDERAL TAX UEN
SERIAL NUMBER fiLEO ANa RECORO~~
± ST, aU0CC1ER
POTRAS ~
1 hsroby os~tify th~t as to ths followi~g-nsmsd te~syer. ths requiremsnts ot ~ection riE~K CtRSUlT COliRt
83281a1. fnsemsl RevsrN,s Cods. havs bse~ sacisfwd with retpecc to ths cax~s erw- ~~a+fiEO
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~ ~ ~ ~a?b'' ~ ~ - DEC 6 I s3 PM'77
WoPer o~fice~ in ths otfios whers notice of iM~nsl revenue tax lie~ was filsd on
Oct . 17, . 19 . is heroDy authorized to maks ~otstio~
on Ms Dooks to show the release vi said lisn. insoisr ss the Iiea telates to ths tolbw-
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NAME OF T PAYER
i ~t ~rr~'~?'~.~? .
j RESIDENCE~ ~ ~ ~
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UNPAID BALANCE
KtND Of TAX TN( rERlO~ ENDED pATE OFASSESSMENT IDENTIFYINC NUMBER OF ASSES'SMEkT
1~ tbl Id i~ M)
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PLACE OF fILING ~ ~ ~ ~
~ ~ ~ TOTAL S
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WITNESS my harM at Jacksonville Florida ~~~s,
che Zlst dey ~ November tg 77
SIGNATU TITLE
ack rant
INOTE~ CwrMicsts d oftica~ r,tnora~d D~r tsw to ql~ scknowlsoqm~nn n not esss~twl to tM vsMdrty ot Notio~ d F~d~rM Tax l.~M? G.C.M. -
28~19. C 8. 1950- t. 125.1
PART 6- To b~ us~d for recordin~ purposq B~OK Pa~~ ~80
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