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' DBANTMN~i OF tNE tI1ElWMr - wreMYLL ~YdM~ SENY~Cf Fa OOti~nsl Use BN R~c~adinp ONios
; ~R~r iei ~ CERTIFICATE OF RELEASE OF fEDE1Gl TAX UEN ~ _~t~il~p pf~~u. /
p~~q~~ SERIAL NUMBER E COUNTIf ~
369780 8-269 P-2722 ~OCER POITR~S
CIERK CIRCUIT COURT
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' I hereby ctrtify that as to the folbwing-named taxpalrer the requirements of section ,~~E~
~ 63Z6(s). Intemsl Revenue Code. have been satisfied with respect to the taxes enu-
I merated below. together with a11 statutory sdditions provided by section 6321: and Mar 1 31 AN
~ that the lien tor wch taxes a~d statutory edditions hes thereby been reloased. The
proper off~icer in the office whero notice of intemal revenue tax lien was filed on
~ June 20 , tg 77 , is hereby .authorized to make notation ~~~p
{ on the books to show the release of said lien, insofar as the lien relates to the fotbw- o
i taxes.
~ NAM OF TAXPAYEq
~ ~t ~ a~¦a FRA,~ r. a,e~ ~ 40~88bi
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~ RESID~(1~ ~
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~ UNPAID BALANCE
4 i KIND OF TAX TAX PERIOO ENDEO OATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
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~ W~7NESS my hand ac Jacksoaville, Florida _ , on this:
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the 25th day oi April t9 78
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~ TITIE
StGNATURE A,;
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~ Van B. tieal ~ Actin Chief S ecial Procedures Staff
INOTE~ Csrt~t~cate ot off+cer susnor¢a0 by tsw to take scknowbdgments ~s not esstnt~sl to che vsld~ty of Notice ot Fedasl Taa lien G.C.M.
26419.CB t950•1.125) j~g .
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- PART 6- To bs usad for rscording purposes Q~+ `
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