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Fann ~ ~ D~pMtm~nt d tM T~Kf/ - Yit~l BMViw
_ ,o,~ Cert a~e of Releas~ of Fe~le~ai Tax ~ Lien ;
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DisMCt S6~ Number - ` Fo' °°"°"'"a' R"°"°w"° °n+c.
- : ~ JUH 29 -AM ~ 00
J~cksonville, FL 2626c19 Bk 169 Pg 1663~.
~ ~r~F~ ~~p Co~O
I OeKify tf18~ 8S to ~fiA #d10wi~rt~6c1 texAaYKr 1~!:~i~~ ~~~25(a) iT ~!lCIE C~TY. FLA.
of the Int~ai Revenue Code have be6n satisfied for the taxas liated beiow a~d ~uaER ~-~TRAS
fOr 811 stat~t~Y additiOns. TherefOne. tfie ~ lioa~ t~?ided b~l C~od9 s9CliOn 8321 br CLE~S CIRC!!!T COt~T
~tECORO ~•ERIFIEO
the~e ~x~s and aadition.s nas been r~eleae~d. The araaer offic~ in the office
wftene the notice of iMernal re'venue taoc ~ie'n~was filed on Deceaber 14 -
~ 19~_~ ia authorized to note the bocks-to show the relesae of this lien fa •
these taxes atxJ additions. 4~~~~
Name of Taxpayer .
Tbomaa A. and Nettie Sue payne ~
Residenoe
P. O. Box $84, Bt. 4 -
Port Pierce, Florida ~
Unpsfd Balsnce
! ~ K~cf of Tax Tax Perfod Ended Dats ot Assessment Identlf!?irp Numbe~ of
I ~ [a) (D) - [c) f~)
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1040 12-31-65 03-03-67 420-52-2000 192.08
1040 12-31-66 _ 06-02-67 420-52-2000 164.30
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~ Place of Filing
~ Clerk, Circuit Court
i St. Lucie County Total = 356.38
~ ~ Pt. Pierce, Florida
This certificate was prepared and signed at Jacskonville ~ Florida _ . on this.
t~ 25th ~y~ June ,~g 79
Signature J Title
Van E. 0'Ne~~~~ Chief, Special Procedures Staff
~ (NOt~: C~rtNiut~ oi oHleN ~uthdlr~d DY Nw~ to t~ko ~cknwK~dpne~nb b nof ps~nNN to tM vd1d~Y of Notic~ W
F~d~?d Tu LHn O.C.AI. 2AIt0. t~t. C.9. t28.) Q~ "7!~
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