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i OBA11~11fMT Of - Mrt~AI ~f11Y1CE fo+ OptiOnal bt1 BY R~OO~dirq
t ~R~++- z-»> CERTIFiCATE OF RELEAiE OF FEDEIGL TAX IiEN FILEO ~ND RECOR~cU
~ DISTRICT - SERIAL NUMBER ST. ~UC~E COUMtr Fta
i i~ 402101 B-286 P-684 ~ocE~. ~°~Ta"`-
caK ^.t~UtT CC:RT
i ! hsraby ce~tify thst ss to ths foMowing-named taxpayer ths requiromenq ot section f c-:
! 6328(a~. tntemsl Rsve~ue Cods, hava been sstisfisd with respect to the taxes enu-
? t~~? ~ st~~„ ~ ~ ~Z,: ~ ,1~~~ 26 12 ~ s PH'Tg
~ that the lion for such taxes and stawtory add'+tio~s has thereby been rebased. The
~ proper otfics~ in the oificer where notioe oi intamal revenua tax tien was filed 4i.Z~.14
~ M a v 4 , t Q 7 8, is hereb~r authorized to make notation
~ on the books to show the relesse of said tieT?, insofar as the lien relates to the tolbw-
i taxes.
' N E OF TAXPAYEii
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~ AES~oENCE
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; ' UNPAID BALANCE
i lUNO OF TAX TAX PERIOp ENOED OATE OF ASSESSMENT IDENTIfY1NC NUMBER OF ASSESSMENT
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~ PiACE OF FILING ~ ~t
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WITNESS my hand at Jacksonviile, Florida ~;s,
.
the 1 Qth day of J~lY 19 78
SIGNATURE TITI,E
Frank I.. Johns Acting Chief, Special Procedures Staff
:
(NOTE: GrUhcate ot oH~ suiAor~rsd by Isw to tske acknowle0gments ~s not esssnt~at to ths vsbdity o! Nodce of Fedsrsl Tax la~n G.C.1N.
26~19. C.6. 1950-1, t25.! (]d
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PAfiT 6-- To be ussd ior rscording purposss Qi16~ ~ ~
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