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z-»> CERTIFICATE ~ REL~ASE OF FEDERAL TAX LIEM
DISTtttCT SERlAL NUMBER Fi~6 ~o RECO~~EL
ST.IUC~ COUMTY FLA
~ 402103 B-286 P-686 aoCra p~rR?S
1 FIS/O~/ CAftth? 11fat ai LO tlle fO110Wi 11aN10(! C~ r cy- C; ~ W i C C l R T
~ 832b1s). Intemsl Revenue Code. hsve b~en sat~s6ed~w'~ith resp~e~t'to~d~s~tax~~enu~ : L~~^
metatOd bslow. topstt~u with all ststutory additiorts provided by 5ection 832 f: snd
thst ths tien tor such~ taxes a~d ststutay additio~s hss thereby Dsw? ro~eased. The ~Ut 16 12 v s PH _
proper aoH'~o4er in the of~iCe whero notice oi intemal reve~ue tax Iie~? was filed on
9_.~.. is hereby authorizod to make notstion
on ths books to show the rebass oi said lien. insofar as the iien rolates to the follow- ~ 1~
i taxes. -
~ N E F TAXPAYER
~l ~ ~
RESIDENCE ~
~r ~
I ' UNPAIO BAtANCE
I KIN~ OF TAX TA7( PERIOp ENDEO OATE OF ASSESSMENT IOEI~ITIfYING NUMBER OF ASSESSMENT
Ist 1D1 !e)
~
~ ~
PLACE OF FILING ~ ~ ~t
~w TOTAL S ~?i~~++r
w~~ESS my nand ac_ Tacksonville, Florid~ , on chis.
~ 27th dey june _ 19 78
SIGNATURE 7lTLE
Frank L. Johns Acting Chief, Special Procedures Staff
INOTE: Ce?bf+tsts o! oN~csr autMwaed by law to bkt sdcnovvbOprt~ents is not .ssssnUSl to tM vsYdrty o1 Notits of F~~1 Taa li~n G.C.M.
28419. C B 1950-1. 125.1 -
PART 6- To bs ussd for recording puryoses fi4Glf ~V1 PALt ~`t aa
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