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' DEPARTMENT OF THE TREASURY- N lRNAL !MU ilRVIC!
FORM 669.C CERTIFICATE Of DISCHARGE Of PROPERTY FROM FEDERAL TAX LIEN
(REV. SEPT. 1!711
(Ste. 63?S(twX?XBI of tAe I~twwd RNreww Cods!
Jessie F, Mae F. Polite ~ ~D~~S
WHEREAS,
~ 803 N. 24th Street City of Fort Pierce
County of St. Lucie ,State ofFlorida
is indebted to the United States for unpaid internal revenue tax in the sum of Three thousand, one hundred,
forty-one ------------------------------58 3,141.58
- Dollars (E )
lawfully assessed, to wit:
KIND OF TAX
(a) TAX PERIOD ENDED
lb) ASSESSMENT DATE
(~) IDENTIFYING NUMBER
(d) UNPAlD ~AI.ANC!
OF AitEfiYENT
(e)
1040A 12-31-76 11-14-77 259-38-6996 1,410.35
1040A 12-31-75 11-14-77 259-38-6996 1,731.23
TOTAL :3,141.58
iYHEREAS, to secure the collection- of said tax, notice of the lien of the ilnited States, attaching to all the
property and rights to property of the said taxpayer on account of said tax indebtedness, was flied with the
Clerk, Circuit Court, St. Lucie County Courthouse, Fort Pierce, Florida under
Clerk's # 39850 g. ---------- ~K>QN
Clerk's ~ 395594, Bk. 282, Pg. 2662 on ~~~~ ~r~h 3n, 31, 1978.----
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in accor ce with the applicable provisions of law.
WHEREAS, the lien of the United States, Federal Number'------'----, for said tax has attached to certain
property described as:
Lots 19 and 20, Block 5, Harmony Heights No. 4 according to the Plat
thereof recorded in Plat Book 9, at Page 71 of the Public Records of
St. Lucie County, Florida. (LAND ONLY) There are no improvements.
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