HomeMy WebLinkAbout0622 Department of the Treasury-Internal Revenue Service 4~'~~ '
Form ~$-F Certificate of Release of Federal Tax lien ``~~+v
t Rev. October 19781
District Serial Number For Optiuna/ Use By Recordiny O//ice
' Jacksonville 303979 B-237 P-1693 ~
i certify that as to the following-named taxpayer, the requirements of section 6325(a) pcR ~e~ ~ }r
of the Internal Revenue Code have been satisfied for the taxes listed below and for all
statutory additions. Therefore, the lien provided by Code section 6321 for these taxes ) -~3~j/
and additions has been released. The proper officer in the office where the notice of 4~ C! ~y yr~'~ 't^ . - C~
internal revenue tax lien was filed on March 20 , ~g 75 ,
is authorized to note the books to show the release of this lien for these taxes and 4~]~Jt.71fe1
additions. J471Gr _
Name of Taxpayer
Perr F H~211
Residence
515 M Rav Street
Winter Garden, FL 32811
Kind of Tax MFT Tax Period Ended ! Date of Assessment Identifying Number ~ Unpaid Balance
(al (b1 ~ (cl (cl) ~ /e1 j ~T ss ~ sment
j :
1040 30 12-31-70 03-25-74 ~ 264-42-1b25 $1,127.43
1040 ~ 30 ! 12-31-72 ~ 06-1fi-73 j 5,075.06
~ f I ~
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Piave of Fihny
Clerk, Circuit Co+rrt Total
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St. Lucie County S f~,202.49
~ Fort Pierce, FL
t
Notice of Federal Tax Lien Refiling
1363107.
IHS Serval Number Recorder's Identification Number8'2992 P-935
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NouceFdedW~thClerk, Circ~:it Court Oranve Coantti Urlando, Florida Oate 3'22'79
Taxpayer's Address(/f different than shownabovel 3?.7fi Cholla w'a~• Orlando, F1. 32608
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Signature s M• H. :tiller Title Revenue Officer
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This certificate was prepared and siyned at ~ ackeonvi 11 a ,Florida
,on this,
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the 16tf: day of a ,19
Signature van E. O';Vea ,r T,t~, Chief, Special Procedures Staff
BOCK J~~7 PAGE ~ t w
(Al Ote: Certificate of o/ficerauthorized by law to take acknow/edymen/r-is nor essential to the validity o/Notice of Federal Tax Lien
~ G.L:M. 26419, 19541, C 8. 125.1 ~yyyy~j~~ ~~p
~i(3-Tu ~ tltiOd ~ ~~f° Form c -F IRSV. 10-78)