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IaEV. 2-rn' CERTIFICATE OF RELEAtE OF FEDERAL TAX LIEN
~ DISTRICT SERIAL NUMBER
387192 BK2
~ ~ 1 hereby certify that a: to the followirq-named tsxpsysr the requiroments of section -
832b1a1. Internal Revenue Code. have been satisfied with respect co the taxes enu-
f tnerated below. topethsr with all statutory additions provided by section 8321: and 199 NaY 16 PM ~ 22
that the lisa for such taxes and statutory additions has theroby been robased. The
proper officer in the where nott~ of internal revenue tax lien was 61ed on RO i'OITRA O
`2 15 77 is hereby authorized to make notation ST UC TY. A.
on the books to show the release of said lien, insofsr as the lien relates to the folbw• CLER~ CIRCUIT
N E
OF T PAYER RECORD YERIFIE?~
~ a• ~ 444621
RESI_ DF~I ~
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UNPAID BALANCE
KIND OF TAX TAX PE1110O ENOEO GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
Isi (b) IN Idl lel
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WITNESS my hand at Jacksonville, Florida , on this.
14 May 79
the day of 19
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t SIGNATURE ~ TITLE
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Ir • " ^ : ; • . -t~ ~ Chief S cial Procedures Staff
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(NOTE: Certrf~cats of office. authored M law to Woe edonowledgmsnts ~s rat t t vaWily of Notice of Federal Tax lnr? G.C-M.
28419. C.B. 1950.1. 1251
$~i?±c PltLE~~, ~
PART 6 - To be used for rscordiny purposes '
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