HomeMy WebLinkAbout0154 . . . . , ,
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R,: oe Of tNE - fo+ o~iawl us. er l~icadin~
p1Ea- ~-7~Y CERT~ICATE OF RELEASE OF FEDEIE~ TAX LIEN
OISTR{CT SERWL NUMBER
~ Bx2~~ rg~ol ~~z~o n~L ~ECOROEO•
1 hsroby csctity thst ss to ths fdbwirp-~amed ta~y'sr~~is roquirements d saction ,C ~ QU "lTY. F~A.
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~ 83ZSls). intemal Revsnus Code. havs been satisfisd with respect to the taxes erw• _ 1~~= 3~; ~
mersted bsbw. to~sthsr with sll statutory additions p?ovicied by sectan 8321: and
Mst tAs lien for wch t~ces and ststutory sdditio~a has thsreby bseit relessed. Ths ~1~
ptoper of~it~er in the offiwe whsre notic~ of internal revenue tax lien was fded on ~ 9 QPR ~ 7 PN Z~ 3
Nnvptnt~hs±r 1 S , ~9 77 , Is hereby euthOtinBd t0 ~nek9 nOt~tlOe ' Z
on th~ books to show the relesse of said li~an. insofer ss the lien relstes to ths folbw- ' ~
i tsxes. , , . _ _ G~'
NAM E F TAXPAYER " ' ~ - ' - ~ • ~ ` '
CLcI~h'C;r~Cf,'T•~~'lf 7
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RESIDENCE
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• . UNPAIO BALANCE
, KINO OF TAX TAX rFAIOD ENDED OATE OF ASSESSMENT IOENTIF1fING NUMBER OF ASSESSMEt~R
Isi lD1 {c1 ldl Id
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1
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2
' CE OF FIUNG ~
~ TOTAL 5~~~
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WITNESS my hand at Jacksonville, Florida
~ the_~day of Aarii _ ~g 79
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~ SlGNATURE ~ TITLE
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Van E. O'Nea Chief
(NOTE- Grtficste ot oH~ce~ au aed by 1aw to t sckrawlsOpmsnts ~s not eass~usl w ~fil~ o/ f~d~rs1 Ta lMn G.C.M.
28419.C.B. 1950•1. 125.1 ~ ~ AC
~ PART 6- To bs used fw tscordin~ purposas
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