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m - CERTIFICATE OF RfLEAiE OF FEDERAL TAX LIEU
DISTRICT SERIAL NUMBER -
Jacksonville, FL 348422 B-259 P-36? ~~9 A(~ ~0 ~ ~ 2~.
1 helaby certify thst as to the following-nemsd taxpsy~r the r'eWiremerlts d seCaon ~
8328ts}. Internal Revenue Code. hew been 'satisfied with respect tD the taxes ertu•
ntsrated bsktw. togedlsr with su statutory additions provided by section 8321: and R
that tha ~ lien _ for such texas and statutory additions has tttsreby been Irieased. The •
pr~opsr offosr in the office whero notice of internal revenue tax lien was 61sd on
on the books' to show the release of said lien. insofar ss the lien relates to the foliow-
taxes.
E . F T AYMI w ~SO _
Forrest W. Haughie
RESID~~ranford Road
Fort Fierce Florida 33452
UNPAID BALANCE
qND OF TAX -TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER NT
(sl Ibl Id Idl NI
1040-17 7203 thru 730 06-16-75 219-28-2488N 53,544.28
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PUKE OF FILING Clerk Circuit Court
St. Lucie County TOTAL s
Fort Pierce, Florida 53,514.28
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~ WITNESS my hand at Jacksonyil7_e~ Florida - on this,
~ 24th ~y ~ August _ tg79
SIGNATURE ~ TITLE
Van E. O'Nea Chief S ecial Proce re
(NOTE: Carcdican d oNiar sutl~or¢~d tpr Isur to uq ackrwnAssdprnants is not ~aantiN to tba validity of Notiess of FatlarM Tali Lissn G.C.M. ?
28419. C.B. 1950-1. 126.1 K g
• PART 5 - To be used for ret:ordiltg purposes 6(l(It1315 ~i8i6