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FORM ~9•(! OE'ARTMENT OF THE TREAfURY • IIiTERNAL REVENUE fERVICE
IREV. ocT. Im) CERTIFICATE OF DISCHARGE OF PROPERTY FROM FEDERAL TAX LIEN '
lSse. 63?SIIrX?XA1 of tbs /wtsrnal Rwewe Co1tJ '
WHEREAS, Tefffiv and Cora L. Polite
Oi ~ gn~ AVenIIP_ F , City of Fort Pierce
County of-St. Lucie , Stace of Florida ,
is indebted to the United States for unpaid rnternal re:•enue tax in the cur: ofOne thousand, tM)o hundred
thirteen and 35/100--------------------------Dotlars(a 1,213.35----------------=-------)
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lawfully assessed, to wit: ~
KINO OF TAX TAX PER100 ENDEO ASSESSMENT DATE IDENTIFYING NUMBER UNPAID 9ALANCE
OF ASSESSMENT
(a) (b) (d) fe)
~ 1040 12/31/75 11/14/77 261-51-6544 478.21
' 1040 12/31/76 11/21/77 261-51-6544 735.14 t
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TOTAL a 1,213.35
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V,'HEREAS, tc secure the collection of salt' tax, notice of the iien of thz United States, att3ch~nq to ail the
property and rights to property of the said taxpayer on acrnunt of said tax indebtedness, was filed with the
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Clerk Circuit Ccx~rts S _ iucie _Ce mt~s Fert Pi _r _es Florida Lnder Clerkly nLer ftcacXhOC `
407116. Book 288,~~"PaRe 2757, June 1S, , Xi~tl!~76x~iUtK~gWt 1978---------------------------L
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in accordance v.-ith' the appl:caale prcvisicns of ia~yc ' i
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V+HERErIS, the lien ~ the United States, F'eaerol hur-,ber_ahoye , fcr ~ai•i tax t?as attached to certain
t property described as: ~ ~ .
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Lots 19 an~ 20, Block 5, HARbIONY HEIGtfPS N0. 4,
according to the plat thereof as recorded in Plat
Book 9, Page 71, of the Public Records of St. Iucie s
County, Florida.
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~ FORM ~9•B~IREV. ip?713 r
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