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~ • oaMnreir a.n~ n~~n - rneuuu ~v~E se~u~E fw us. er Reco,~nD oM;rx
; mEV ?6in CERTIFtCATE OF RELEASE OF FEDERAL TAX LIEN -
+ DISTHICT • SERIAI NUMBER , , -r ~.t~^ R~CQ~~FD~
! 42199 - _ U•;~ ~ . ~
~ I heroby ~tilY that as to the folbwing•~amed taxpsysr the requwsments oi section ~ r ~
' 63251a1. Intsmal Revenue Code. have been aatisfied wiM respect to the taxes enu- ~cc ry
; merated bslow. togsther with ali statutory sdditions provided by section 8321: and 4a7a7V9 `
; thet ths lisn ior such taxes and statutory sdditions has thereby been relessed. The ~ L(~ PM s
~ n ths office where noti~ of inter~al revenue tax lien was filed on F'
; ~o~~~ , 18 is hereby authorized to meke ~otstion
j on ths books to show the ~eloase ot said lien. insofar as the lien relates to the folbw- . . ~
i tsxes. . . .
~ NAME OF TAXPAYER
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i RESIDENCE . ~
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UNPAI~ BAtANCE
I KINO OF TAX TN( ~ERq~ ENDED OATE Of ASSESSMENt IDENTIFYI!!G NUMBER OF ASSESSQAENt
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' ~ ~~w M~3i~~ ~!-~i7l000 ~i~.r1
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~ PLACE OF FIIING C~~ ~
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~ WITNESS my hand at Jacksonville, Florida . on this.
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4~ t~ 13 day of Feburarv 19 79
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~ SIGNATURE ~ TITLE
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~ Van E. O'Neal ~ Ch~ef_} ,~pec,i.al'Pt~dc~4fr~s Staff
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INOTE Grt~f~cate ot oN~cer authorued by taw to tab acknowlsdgments a not essentisl to tM rsld~ty o( Not~o~ 01 F~dsral Tsx lkn G.C.M.
26419. C B 1950-1. 12 5)
PART 6- To be used for recording purposes 4~0!(~~ ~~E
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