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Form xea - For Optlorial Usr Bp Rec~at>Ifily OM?ky
iREV. 2.771 CERTIFiCATB OF i~LEAiE ~ FEiiEi~AL TAX LiEM
DI ICT SERIAL NUMBER -
1 hsroby certify thst :as to the faiowinp-n.m.a taxp.yer the r.vuiremsrlt: of section
8325(x1.. IntarnN Rewrwe -Code. hew been satisfied with resps~~t to the . texas enu-
meraad bNow . topxtflsr with xll statutory additions provided b11 section 832,:. xnd X19 auc -s - ~ 3S
that the lien .for such taxes and ftatl,t«y additiorte has thereby been rskssed. The
proper officer ~ the office whsro notice of irltemal revenue tax lien was filed on S~ E C A.
June 23 tg 78 is ~reby author;ned to make notation ~
on the books m show the rebase of said lien. insofar as the lien rolstes to the foNow- CIRCUIT.. .
takes. - RECORD VERlftf
E F T AYpi '~~u`lYI~i1
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RE8IDENCE
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- uNVao eAU?NCE
KIND OF TAX TAX PERK10 ENDED GATE OF ASSESSMENT IDENTIFYING NUMBER OF /?SSESSMIENT -
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PLACE OF FILING ~ ~ ~ ~t
~ TOTALS ~~'10
WITNESS my hand at JACKSONVILLE, FLORIDA , ~
3.
the 27 dsy of July _ tg 79
SIGNATURE ~ TITLE
~ VAN B. O'NBAL ~ HIEF SPECIAL PROCEDURES
(NOTE: Cartificats d d1K« auttwraad M Law a adcrwwkdgments ~s not essentisl w llfa vsMdry of Notice of FadarN Tax lire G.C.M.
2619. C.B. 1950-1. 125.1 ~
PART 6 - To bs used for recording purposes Q~