HomeMy WebLinkAbout0209 r'~
1
R
1
1
i ~
i
Form 6~ Oep~rtment of the Trsfawrl?- M~tetrtd Fisvaw~ S~rviw
(Rw sspternbert97a) Certificate of Release of Federal Tax Uen
District _ Serial Number F« oatronar UEr. er w.eo+d+~o onrw
JACK30NVILLB ~ SEP A!! II= ~ ~
l certify that as to the following-named taxpayer, the requirements of 6325(a) S~ POI'f~S~.
of the Internal Revenue Code have been satisfied for the taxes listed below and ~ ~ptC1pT t~U1tT _
for all statutory additions. Therefore. the lien provided by Code section 6321 for
these taxes and additions has been released. The proper offioe~ in the office RECmto vERfF1EO
where the notice of internal revenue tax lien was filed on Oct• .
1 19.ZQ-. is authorized to note the books to show the release of this lien for ~~~8
these taxes and additions.
j
i Name of Taxpayer ~ • , '
{ flOBI~RT W. do AMfPT1`8 PADRICK
1 R
i 2s25 3. Indian ~ 8iver noc.
~ Ft. Pierce Fl. 33450
i KGtd of Tax Tax Period Ended Date of Assessment Iderttlfykq Number ~
~ W _ [b) (c) (aD lau
1040 12-31-72 OZ-12-79 1 - 11, .21
1040 12-31-?3 02-12-79 265-40-6561 14,280.81
1040 12-31-74 02-12-79 265-40-6561 1,171.42
1040 i2-3i-76 ~1-30-79 ZbS~a-6561 159.89
1040 12-31-7? 02-12-79 265-40-6561 5,136.02
I .
I
i
I
I
i
i
Place of Filing
Clerk of the Circuit Court
St. Iucie County Courthouse T~f = 32.x•35
r Ft. Ple~rce, Fl. 331+9
~ _
This certificate was prepared and signed at Pierce, \ , on this.
the 14th ~y of August ,19 80 •
g' t Title
1 Group Harta~eac - ~
~ ~ '
Mar. C«rxieab or orflc« aurhorizad M Nw ro raze acknowradpma+~ta rs nor assa+niar fo tM ~a1 Notices 01
~ Fadaral Tarr tiara O.C.M.2QI/~ 1fr54r,C.B. f2b.)
a Part 3 - To be used for recording purposss Form 668 (Rev. a78)
3 ~