HomeMy WebLinkAbout2697 ! OEPMiMEMI OF TIE tr1NreIN? - MIT611U1 for Optional Usr Ollih
IR~EV.i~in CERTN:ICATE OF RELEASE OF FEDEIGL TAX LIEN
DISTRICT SERIAL NUMBER FILED ANO RECaR0~0~„
=,T. t_UC1F COUNTY. FLA.'
1 hereby osrtify that as m the following-nsmsd talgpayer the requirements of section 4';~a7~6
63281x). Intsmsl Revenue Cods. have been sstisfisd with rospect to Ills taxes snu• ~
merated below. together with sN statutory addKiot>s provided by section 8321: and ~ 19 JAf~ 19 AM i ~ : N 9
that the lien for such taxes and statutory additions hss thereby been relessed. The
proper ofrtcer in the office where- notice of intsmal revenue tax lien wss filed on
. 1 is hereby authorized to make notation c~
on the books to show the release of said lien. insofar as the lien relates to the folbw- = - ~
i taxes. CLERKyC'Ei~:JfT COUn
NAME F TAXPAYEtt M ~ ~ C ~lS ~'L G V
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~ RESIDENCE _
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT -
Ia? WI lc) Id) M)
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PLACE OF FILING
TOTALS
s WITNESS my hand at.~j,~lrannyj
11~ ~ plari dr . On this.
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the t Sthday of Jan rL~- 19--7Q
SIGNATURE TITLE
a (NOTE: Cw,uhcate of offKer eLthoressd try leer to aloe sdcnowNdgmsnts a not essential to tM vsbdrtY of Notiw of Federal Tex Lien G.C.M.
u 2819. C.B. 1950.1. 125.1 ~ ~
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PART 6 - To bs used for recording purposes
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