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F~ eeB oe~aTlrByT of tIIE ta~tllln - wtBwnt a>':veluE stltnlcE For Opriorusl t/s. Br Rstrordirp
(REV. 2-rn CERTIFICATE ~ RELEASE OF FEDERAL TAX LIEN ~Q
OI SERIAL NUMBER 5~ ~a'~4
451288 Bk 312 Pg 1718
~ I harMry oartify that ss to the following-named taxpayer the requirements of section
63261st. Internal Revenue Cods. haw been satisfied with respect to the taxes enu- ~~0 «4V _ 4 1~ f I
meratsd below. together with all statutory additions provided by section 8321: and
that the lien for such taxes and statutory additions has thereby bean released- The F~~t 1: c~i- ~ ri ~ 0
oropsr officer in the office where notice of internal revenue tax lien was filed on S r i Ir,F t e. I i
~ July 12 1a~Q-, is hereby authorized to make notation F.i.::' R P ,1i~ :S _
on the books to show the release of said Tien, insofar as the lien relates to the follow Clca~. C~r.;.U~1 CG~iT
1 taxes. Rlia'i t£ yiF:: ~1_
NAM OF TAXPAYHI
s a~! ~ ~I~1w~ ar. ~ St?5834
RE8I~ENCE
UNPAID BALANCE
KIND OF TAX TAX PERIOD END£0 DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESS~AENT
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~ PLACE OF FILING
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~ WITNESS my hand at Jacksocrville, Florida , ~
s
the 9th day of October _ 18 80
SIGNATURE TITLE
~ .
Van E O'Neal ~ Chief Sec al Procedures Staff
INOTE~ Carnf~cate of oH~ suthorasd by law to tal~a adcnovvladptnsnts snot essanaal to tits vsMt>,fy or No6a of Fadaral Tea tiara h.~.
28418. C.B. 1950-1, 125.1
PART 6 - To bs used for recording purposes BQ~t~ P,G~