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FO"" 668 oa~tt~t a m. Ttsst,fy - It,tetMl Rwentie service 4~~~
«~,.~e,,,~.,9,a, Certificate of Release of Federal Tax Lien
DlStrlCt .Serial Number Fa OpHonU Use by Reeordktp t?t!!ee
Jacksonville 412si8 8-292 P-18 ~ FE9 2B AM 4
ILEA ANp R ClMOtO
I certify that as to the fdlowing-named taxpayer. the requirements of secti.,.^. 6325(a) UC~,E C Y.F`J?. .
of the Internal Revenue Code have Keen satisfied for the taxes listed below and C
R~ Si
for all statutory additions. Therefore, the lien provided by Code sectron 8321 for
these taxes and additions has been released. The proper officer in the office tZECORD vERIFIEO._._.
where the nonce of internal revenue tax lien was filed on August 9
~ 19 78 , is authorized #o note the books to show the release of this lien for ~`~1~8
these taxes and, aciditionS.
N1ame of Taxpayer
I Karl H. and Florence Keller
Residence
2609 Citrus Avenue
Fort Pierce, FL 33450
1 - Unpaid Balance
~ ~ Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
t
~ I taJ [bJ (W td1 (sJ
~ 1040 12-31-?6 05-30-77 265-58-9824 1,246.13
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Place of Filing Clerk of Circuit Court
St. Lucie County Courthouse
Fort Pierce, FL 33450 Teel = 1,246.13
~ _ - -
This certificate was prepared and signed at Jacksonville, Florida , on this.
the 22nd day oY-FeTiruary 19 80
Signatur ~ Title B~
Van .~~aJl" ' Chief, Special Procedures Staff
(Note: CertHicete of officer authorized by !aw to take acknowledgments is not essential f0 the validity of fYotlce a
Federal Tax Lien O.C.Y. ?6~t9, 19541, C.B. 125.). kg
Part 3 - To be used for recording purposes Form 668 (Rev. 9-78)