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i Form NB ~ O~ANi11BiT Of i~EAEYIIY - MItBI1Mt IIEYH~ fo~ OptiOnaf Usr Bl? Rscordi?g
I ~R~-z•~n CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN R1~~O aND RECOaoEo
~ OIS ICT SERIAL MBER ST. ~UC1E COUMTY F~?.
QO~E~ ?~ITRAS
~ 366707 B-268 P-I304 r:3„utT Co~a ~
~ ~ Ke~? certifY thst as to ths followinp-nsmed taxpsyer ths ~equiremenri ot section _ - ~:c,
~ 832b(s). Intems! Revenue Code, ha~rs beeri satisfied with respoct to tAs taxes fnu-
i me.a~a t~~~ wnn su g~~,wry ~a~~ b,? ssz~ : e~ ,lu~ 16 IZ 4 s PM'78
; thet ths lien tor such texas and statutory edditions has thereby been relessed. The
proper officat in the office where nctice af intemal ?evenue tax tien was filed on 4~'~ ~
M a v 2 0 , 19.2 7, is he~eby authorized to make rwtstion
on the bodcs to show the rolasse of said lien. insofar ss the lien relates to the folbw-
i taxes.
~ N E OF TAXPAYEii
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( RESIOENCE S ~
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KlNO OF TAX TAX PERI~ ENOED DATE OF ASSESSh/ENT 1 OENTtFY1NG NUMBER OF ASSESSMENT
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i Q~ACE OF FIUNG
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WITNESS my hand at ~ lacksonville, Florida ,~~,;5.
~ lOth ~y of Iuly _ ~g78
SIGNATURE TITLE
Frank L. Johns Acting Chief, Special Procedures Staff
(NOTE~ CNtificata o1 oMKer aucnor¢ed by 1aw to tske ackrawbdgmsnts n no~ esa~nusl to ~M val~ty of Nod~o~ ot Fedsrsl Taa t,~n G.C.M-
26t 19. C-B. i 950• 1. 125.1
~P~ ~da
PART 6- To bs ussd for recording purposss ~`~"K
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