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' ~ OEIMTYENT Of TNE T{EAtURY-INTE~IU1l IIEVEIIOc fERY1CE FOI ~dpYl ~I BY R~CO/dil7~ ONiq
~ ~.~ev. u-ra~ . ~ CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
~ DI TR SERIA UM8
42 P 1944 FI~~D ANp RECpRp~?` .
1 her~by aertify that ss to the following-named ta~syer the requirements of Section • ~T. ~-UC?E COUNTY;~FLA. ~
63251s1. Interrnl Reve~ue Code. have been sstisfiod with rfspect to the taxes enu- R D V~ R I F I E p
mamd below. together with all statutory additions prorided by Saction 6321: and ~
' that the lien for wcfi taxes snd statutory sdditions has Mereby been releued. The ~e A~ 3
propar offioer in the office wt~e noti f intemaf revenue tax lien was filed on 7
~~st 12 , 19~~ , is hereby wthorized to make tatstion ' 2
I i o~ his books to show the ~eldass of said lie~, insofar as the lien relates to tfie follow-
i bxes.
` NAMEOFTAXPAYER _ CLERKJCIRCUIlT COURT
RESIDENCE
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I } UNPAID BALANCE
i KIND OF TAX TAX PERIOD ENOED DATE OF ASSESS4AENT IDENTIFYING NUMBER OF ASSESSMENT
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WITNESSmy hand at _iackBOrnrille~ Florida ,on this,
~ d~e_3p_day Of M,prrh , 19 79
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! SIGNATURE ~ TITLE
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Van 8. O'Neal Chief~ Spectal Procedures Staff
(NOTE: G.[ifiua ot offiur wM i:W by law to t ~cknowtWqr~n b no[ ~~iial to tl» vdidity of Notia of F~daM Tax li«+ G.C.M.
Z84t9. C.9. 1960-t, 126.) 9~~ ~ ~~C
; PART 3- To be used fa recordin
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