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Forn- x68 OHARtMdIT OF t11E T1aASIMY - MIT<#Ml NE11dNE SNYICE for OptiwlN Va• ftl- Rlowdinp Olin
tREV- z-771 CERTIFICATE OF RELEASE OF FEDERAL TAX LIEN
DISTRICT _ SERIAL NUMBER
447005 Bk 310 P S 7
I hereby osrtiiy that as to the following-named taxpayer the requirements of section
6326(x1. Interns! Revenue Code. fiave been satisfied with respect to the taxes enu-
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rrlerated below. together with all ststutory additions provided by section 6321: and J
that the lien for such taxes and statutory additions has thereby been released. The
proper officer in the office where notice of internal revenue tax lien was filed on
authorized to make notation
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hereb
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Si 4l C~CQ~NTY.fjA.
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on the books to show the release of said lien. insofar ss the lien relates to the folbw- CLERK CIRCUIT C011R~
~ taxes. AEtGftO YERI~fEO~
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NAME OF TAXPAYER ~
~ s. a ~. a^.r 509385
RESIDENCE
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uNPao BALANCE
KIND OF TAX TAX PER100 ENDED GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
Isl tbl (d Idl Id
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PLACE VF FILING
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!~~ ~ ~~ TOTAL E ~~~
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WITNESS my hand at Jacksonville Florida , on this.
the 21st ~y of November t g 80
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SIGNATURE
Van E. O'Nea
(NOTE:
26119. C.8 1350-1, t251
i
Chief, S ecial Procedures Staff ' `X
M isrv to eke scknovrNagmsots n not•essanusl to u» vswdrty of Nona of Fedstal Tn (,«+ G.C. ~m •
PART 6 - To be used for recording purposes 8~~~ P~ ~~
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