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Fptr~ 668 DE?ARTYENT OF THE TREASURY-INTERNAL REVENUE SERVICE Far Jplio~w?Use By Recording Ollice
(REV. 14-74) CERTIFICATE OF RELEASE OF FEDERAL TAX LIEM
DISTRICT SERIAL NUMBER ,4:h~~ /
1 hereby certify that as to the following•named taxpayer the requirements of Section
6325(a?, Internal Revenue Code, have been satisfied with respect to Lhe taxes enu-
merated below, together with all statutory additions provided by S~ciion 6321; and
that the lien for such taxes and statutory additions has thereby been released. The
proper officer in the office where notice of internal revenue tax iien was filed on 979 OCT Zs
19~_, is hereby authorized to make notation ~ ~ ~ 4
on his books to show the release of said lien, insofar as the lien relates to the follow-
i i taxes. FIIEU Ak0 ~tCUhUtU
' NAME OF TAXPAYER ST.LUCIE cOIJKTY F~a.
ROGER POITRA5
i J~~ ~ L~~ Y. HRH CLERK CIRCUIT.C t
RESIDENCE
r~ se. tz 33452 4~'~t9~
j UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lal (b? Ic1 'd? Ie1
1d10 t~-31-69 1~~5-T2 X61-~-ti1~c 2,?53.~
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PLACE OF FILING ~ OiratiL Caa~'~
LOi+~ ~ TOTAL S 2,?~3.2(!
f ~'t. ti~orw, FL 33h5b
f -
WITNESS my hand at ~ on this,
the day of 19
SIGNATURE ~ TITLE
(NOTE: C•rtificat• of oll~c•r authorized by law to idc• atknowl•clgm•nts is not •ssent~al to the vslidity of Notics of F.d.r•1 Tea lien G.C.M.
26419. C.B. 1950-1, 125.) ^ - w_ w - n
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