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fom+669 • o~~nnnrert a n~ n~Mr - wreau?~ n~ve~E s~E fa? Opcwnal t/ss BY R.oadinp Oltks
± iaev. Z.n? CERTIFICATE OF RELEASE OF FEOERAL TAX LIEN - FilEO ~NO RECOROED
! DISTRICT SERIAL NUMBER ST. t,UCIE COUNTr fl~. ,
i 381193 BK 275 PG 1665 pOGE~s PO~TRAS
~ 1 hereby certity that as to the tollowing-named taxpayer the requirements d section r_ E A X`' ` U ~ CCU
83261+~1. Intemal Revenue Code. havo been satisfied with respect to the taxea enu- ~
1 me~s~d be+ow. to9ecns~ vritn au stat~so?y aad~t~«,s p~o~ided by section sa2~: e~d SEP ~~j 9 26 AN'
I that ths lien for such ta~xes and statutory additions has thereby been released. The 1 p
~ p~oper offioer in the office where notice of intsrnal revenue tan lien was filed ~ 41`714'7
I Octoher 10 19,ZZ. is hereby authorized to make notstion ,
~ on the books to show the release of said lien, insofar as the lien relates to the tolbw-
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~ i taxes. •
' NAME F TAXPAYEq
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i RESIDENCE -
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~ ~ - ~ = UNPAID dAIANCE
~ 1 KIN~ OF TAX TAX IEl110~ ENDE~ DATE OF ASSESSMENT IOENTIFYING NUMBER OF ASSESSMENT
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~ I PLACE OF FIUNG
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_ WITNESS my hand at Jacksonville, Florida on this. -
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~ti1-. the 28 day of _sg ~ a _ 19 7 8
SIGNATU TITLE
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' (NOTE: Grt~(~csts ot oif r thoraee by Isw to uks acknowledgmants ~s rat euent~sl to ths vafd~ty of Notics o1 Fedsrsl Tu l~e~ G.GM.
z~~9.~e.,~o.~.,z5~ o R 8~
600K
PART 6- To bs used for rscording pu?poses
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