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tonn~s~ oewrtment a the Treasury - Internal R.venue Service 4'x'71'72
(Rev. 8ept.lnber,978) .Certificate of Release of Federal Tax Lien
Dishict Serial Number For OoNenal case M R•cordirp OIHc•
Ja~~1~ 438439 B-305 P-2103 ~99~ ~E6 26 A!S ~ 42
FiLEO ~hC ItE(:URt)t D
I certify that as to the following-named taxpayer; the requirements of section 6325(a) ST. I.UCtE Co~~T Y. Fl A.
of the Internal Revenue Code have been satisfied for the taxes listed below and ROGER Pt)17RA5
for all statutory additions. Therefore. the lien provided by Code section 6321 for t:U:RK CIRCUIT Ccu4t
these taxes and additions has been released. The proper officer in the office Rrctsrn vERl~ttr:.
where the notice of internal revenue tax lien was filed on March 26
19~_. is authorized to note the booM.s to show the release of this 1~ for 4'771'72
~ these taxes and additions.
Nana of Taxpayer .
~!!t Il~slq Il'L7r0dg 911a
Residence
~~re ~ ~
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
' [a) [b) fW tdI ~
E~
E
1
~ '
1
I
1
j
Place of Filing
i C1~eit tad as+o~ti~ t1~st ~.i9
~ LIT O~rill? Qroe~~N Total t
n. rs~..~ 1r1.
This certificate w2s prepared and signed at Jacksonville , Florida , on this.
the 20th day of February 80 ~•J
Signature - ~ Title
Van E. O'Nea ~ C/ Chief , S ecial Procedures Staff
(Note: Certificate of officer authorized by law to ke acknowledgments Is not essential to the vafidiry of Notice of
Federal Tax Lien O.C.M. 26119, 195x1, C.B. 125.) C11(
Part 3 - To be used for recording purposes Form 6S8 (Rev. 9-78)