HomeMy WebLinkAbout0598 ~ Form 66i DQARIMEtiT Of 1r~ iREASURY-RViEItNAI REVENUE SERVICE FerOpbarnll/st tly R•eordirty OllltaR
t~v• z-~~1 CERT~ICAfE DF RELEASE OI: FEDERAL TAX LIEN
DISTRICT SERIAL NUMBER c`~c~
~ Jacksomrille Florida 344758 Bk 257 P 818 ~LL++aa77
( hereby csrtffythotostothsfollowing-nomsdtoxpoyer the requirements of Section
6325(0). Internal Revenue Code, hove been sotisfiedwith respect to the taxes snu- l~~,0 i~Qs~ 12i +Q
meroted below, together with ali stotutory additbns provided by Section 6321; and
thot the lien for such taxes and statutory additions hos thereby been releo:ed. The
~ proper officer in the office where notice of internol revenue cox lien wos Filed on i f a
~Qteebar S i9 9b _ is herby authorized to moles notation f: ~r f~yttft~SS
i on his books toshowthsrsleoseofsotd lien, insofar as the lien relates to Ihs follow- tl:"~~r, C~i~G;J,T CLi.R
ing taxes. r
NAME OF TAXPAYER
F.Ce Qcbvindt
RESIDENCE
122 Hidden Oak Drive
Longwood, Flo=ida 32750
~ UNPAtO BALANCE
I KIND OF TAX TAX PERI00 ENDED DAZE OF,ASSESSMENT IDENTIFYING NUMBER OF Ar55ESSMENT
( (o? rot 1~1 (d) lel
1040 12/31/73 07/29/74 541-20-7734 17,542.70
1040 12/31/75 .07/12/76 541-20-7734 4,157.14
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~ PLACE OF FIIING Clerk of the Circuit Court
St. Lucie County ~ TOTAL = 21,699.84
~ Ft. Pierce, Florida
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WITNESS f11y hOnd Qf _T~nlr~tvwi7lme_iPlnrid' ~ 011 f4hr
,19.80
the~L_day of,October
.
SIGNATURE TITIE
Van B. O'ltiea ~ Chief, S cial Procedures Staff
(NOTE: C•rNftcel• of oNk•r oeNarrt•d by ler a lob otlnowledOm•nt~ N nor eia•ntbl b the roiWNp of Notice of f•d•rel Io:lNn G.CJM.
26!19, Cs.19S0-Si, 125.) ~p
~ 800~1(c~ PA~6E
PART 8-To be used for recording purposes