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' OfYARiYENT Of THE TREASINIY - MREfI1Mt IIEYdNfE SERVICE fa Optinnel Use BY Rscb+diey OIIiCe
I (REV. 26771 CERTIFICATE OF RELEASE of FEDERAL TAX LIEN
~ DISTRICT SERIAL NUMBER ``.~Q ~ /
Jacksonville 134940 B-115 P-479 4~71~
1 hereby certify that as to the folbwing-named taxpayer the requirements of section
' 63251s). Intsmal Revenue Code. have been satisfied with respect to the taxes enu-
mereted bebw. together with all statutory additions provided by section 6321: and
that the lien for such taxes and statutory additions has thereby been released. The ~:'g O~j 26 ~ 3
ffff r in the office where notice of internal revenue tax lien was filed on
l ri1~4 1965 is hereby authorized to make notation tILEO ar+e he.i:uYYNul U
M on the books to show the release of said lien. insofar as the lien relates to the folbw- S ROGER
POITRASA~
i taxes. CLERK CIRCUIT CO
NAME OF TAXPAYER g
k[CrPn ~~FRIf
~cn .
Ral h H and Lola Patterson _ '~Q~ r~
RESIDENCE 4Vt.~.71 I
c/o Joh~~ F. Linton, Trustee, 1610 Th•r:,b Point Drive
ort erce, on a
UNPAID EIALANOE
KIND Of TAX TAX PER100 ENDEO ' GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
i I iw~ lam, lAl W
I'I ~ 1040 Income Addl 19h0 12-21-h2 SPL #28-01 DEC21 62 23.59
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~ i 1040 Income ~Addt 1959 12-21-62 SPL i~2R-00 DEC 21 62 81.80
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1
PLACE OF FILING
C1erF:, Circuit Court
St. Lucie Court, ~ TOTAL S t05.39
E Fort Pierce, Florida
3
f WITNESS my hand at Jacksonville, Florida on this.
I
the 5th day of October 19 79
~ _ '
SIGNATURE / TITLE
Van E. OrNea ~ Chief, Special Procedures Staff
~ INOTE Cert~f~cate of oM~ce~ auttxxaed try taw to take acknowledgments is not essential to the vald~ty of Nonce of Fettenl Ta: lien G.C.M.
`E zssl9. c s 19so-~. ,zs l I)K
PART 6 - To be used for recording purposes B~~R P'~