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Fam 792 4'70'759 Deaadent's First Name artd Middle Initial Decedent's Last Name
(liav. JurN 1977)
•:+;~'~;~~~~~~:~~.~t~'nr=:'iLt-r-~-s_T~~ SaOtuel G. Lstty
~AE~ ~1N1Q Service osoedent's Social Security Number Oate of Death ,
263-60-5761 08-11-78
Domicile at Time of Death
Florida
United States To
Certificate Discharging ~ A~t ~ ~ r Mr. Richard s. Latty, Pers. Rep. ~
Property Subject to
ADDRESS c/o Harold P. Kravitz, Atty
Estate Tax Lien ~N~-- Sr-°er. 900 West 49th St. , #s2s
i C~tv a 7aww.
sr.ra .tee Hialeah, Fla . 33012
I/P Cods
J
~ I certify that the estate tax for the estate of the decedent named above has been fully paid or otherwise provided for. This
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certificate discharges the property described below from the lien of the United States imposed by section 6324 of the Internal
~ Revenue Code.
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SEE ATTACHED DESCRIPTION
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SIGNATURE OF Title Data
CERTIFYING , ~ f DP ] q l~~1
OFFICIAL ~ ~
District a Offios JAC!KSAfi1V111 c a ~ n~At» r~ ~