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Form 668 pepartment of the Treasury • Internal RwMUS Service
(Rev.3eptember1978) Certificate of Release of Federal Tax lien
j District Serial Number For ow,orw us. by Aaeordinp once
_ Jaclaonville 351973 B-260 P-23G8 ~9~9 ~OV 19 ~ ~ ll
' I certify that as to the following•named taxpayer. the requirements of section 8325(a) FILED FkL' RECOfcOi U
ST. LUCIE COU)IT Y. Ft 1..
of the Internal Revenue Code have been satisfied for the taxes listed below and ROGER POITRAS
for all statutory additions. Therefore. the lien provided by Code section 8321 for CLERK CIRCUIT CGURt
j these taxes and additions has been released. The proper officer in the office r~c~ ~'=R•Ft~"---~~~--
where the notice of internal revenue tax lien was filed on Ueceriber ~ ,
t 91,52_, is authorized to note the books to show the release of this lien for
{ these taxes and additions.
Name of Taxpayer
Richard D ~ Marjorie C Breen
Residence
:>49 Bray,ford Rd
Port St. Lucie, FL 33452
Unpaid Balance
Kind of Tax Tax Period Ended Date.of Asseasnlent IdenWyiny Number of Assessment
la) [b) [c) ld) ls)
- -
! 1040 t2-31-75 ~s-9-7~ 191- 09-~~77 $20Rs.42
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Place of Filing
Cler':- of Circ~:it Co~.rt Total :
Wit. L~~cie C~:~~:t 20~i5.42
:'t Pierce, FL 334 i0
f This certificate was prepared and signed at Jact sorvill e, Florida , On this.
the 25t)~ day of Gctober ~Tg 79
Signature Title
'!an E. Orfi C` ief S eci~l Procedures
t Mots: crrH s a utbwr:ed by N ro fake acknow/adpmarrts a not etsant/s/ ro rM validity a Notres a
FadKal Tax LiM Q.C.M. 2M1lJ, 1>ab41, C.B. 12b.) t W
Psrt 3 - To be used for recor7fiip purposos~~ ~ Form 868 (Rev. 1}-78)