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+ DEtA~TMH~T OF TnE iIIEASINIY - urt61MAl IIEYEINIE SE#Yltf for Optand Ute R Olliw ~
~ i~e-m. `c~-3~i ' i,~~i~ii,Ai~ u~ nc«~ic v"~r TAX LIEN ~ A
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SERIAI NUMBER OCER POfTRAS
? 391727 B280 PY761 ER~ CtRCU1t Couqt
~ 1 hereby certify that as to the foitowing•named taxpayer the requirements of section ~ J~~~~~~ ~
~ 63251a1. Intemal Revenue Code. have beQn satisfied with raspect to the taxes enu- A
merated betow. together with all statutory additions provided by section 6321: end ~~r ~ 31 HH ~~R
~ that the lien for such taxes and,stawtory additions has thereby been released. The
proper offioer in the office where notice of internal revenue tax tien was filed on
~ 1an~arT 24 h . 19J$_, is hereby authonzed to make notation
on the books to show the release of said lien. insofar as the lisn relates to the folbw-
ing taxes.
NAME OF TAXPAYER
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~ RESIDENCE
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w~ ~..r.~. ss~
~ UNPAID BALANCE
I KINO Of TAX TAX ~ERI00 ENDED DATE OF ASSESSMENT IOENTIFYING NUMBEN OF ASSESSMENT
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~ WITNESS my hand at Jacksonville, ~'lorida , on this.
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iy the 24th day of April . 19 78
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SIGNATURE .E:~C/~~ TITLE
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Van E. 0'Neal ~ Actin Chief S ciel Procedures Staff
INOTE Certifrcate oi oN.~cer authonted by law to taka adcrwwledgments ~s not essenval to the vald~ty of Not~os of Fedsnl Tsx lien G-GM.
26419. C B 1950-1. 1251
Y~s PART 6- To be used for recording purposes b00K ~V~ oA6f