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F.orm 668 OE~AIITYE~T OF TME ?~EASUIIY-INTE~NAI OEYEMUE tEI1Y1CE fOr ~dOAN Ute By R~CO~?di Of/iOf
taev. ~~•~4! ~ CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN ~ F~~~o aNO R~cORO'~b'~
DI TRICT. • ERIAL NU BE ' ~T, LUC1E .COUNTY. FCA. ~
~ ' ~ ~ V~Rl~'ED
~ I hereby oertify that as to the following~named t~xpsyer the requirements of Section L~~~~
6325(a?, Internal Revenue Code, have been satisfi~d with respect to the taxes enu- C
merated below, together with atl statutory additions provided by Section 6321; and g FE6 28 PM 2• yv
that the lien for wch taxes and statutory additio~u has thereby been reless~d. The ~
p~qQ~_~ ~the office where, no 9~bof internal revenue tsx lien was filed on ~
aspw
. is hereby authorized to make notatio~ :
~ on his books to show the release of said lien, insofu as the lien relates to the follow- C~~ ~Z f C i i~' ! T C~J U RT
~ i tsxes.
NAME OF TAXPAYER
~
i Psora Dairis
j RESI ~NCE
E p loet i911
f Fos't Pi~rc~~ Fl. 334Yt
~
j UNPAI~ BALANCE
~ KIND OF TAX TAX PERIOD ENDED UATE OF ASSESSMENT IOENTIFYING NUMBER OF ASSESSMENT
~ la) tbl Ici Idl te:
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' j PLACE OF FILING t~*
Q~~ ~ TOTAL S
~ ~t. I.uci~ Gotasty 1bOb.d'T
~ E l~t. Piserc~, Fl.
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~ WITNESS my hand at J~~~~~ ~ , on this, +
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the ?th day of ~b~'Y , 19_~_
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~ SIGNATURE TITLE
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f ~GC/ ~ia,t ~al proae~res Sta!! i
~ T: [ t~ 01 offic~~ wthpriz~d by law to tNc~ acknOwlWprtNnts is not ~+tiN to M~ validity of Notip of F~~N Tu Li~n GC.M.
' 26119. C.B. 1950-f, 725.) ~
3U4
~ PART 3- To be used for recording purposes 3(~!~ ~ ~O
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