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(R~v.Bpbtnb~rt978) Certi~cate of ~e~leas~ of; Federal Tax Lien
District ~ Serial Number ~ ~ Fa. o~a+o~w u.. w n+ao.a~w oab.
s~~ ~
Jacksonville 340629 Bk 255 Pg 748 ~~~ 2~ ~~ 08
I certity that as to the fdlowinQ-named taxpayer. the ~equirements of aeotion 8325(a) ~
of the Intemal Revenue C.ode have bee~ satisfied for the taxes listed below and ~~~~
tor ali statutory additions. Therefore. the lien provided by C,oclg aecnpn 8321 for
these taxes and additions has been released. The proper office~ in the off'~ce ~ D
yvhere the notice of iMemal revenue tax lien was filed on July 26 , ~~ ~~~ [
19 76 . is authorized to note the books M show the~ release of this lien fOr
these taxes and additions. S~~
Name of Taxpayer '
8ric W ~ Katie LeWis
Residence
2707 Ave M, Fort Pierce,Fl. 33452
unp~ia eatanos
Kind of Tax Tax Period Ended Date of Assessment Identif~ Number of Aue~rna~t
N! (b) [c) (~p (y
1040 12/31/69 6/14/76 263-92-2460 77.26
1040 12/31/70 6/14/76 2b3-92-2460 946_03
1040 12~31~71 6/7/76 263-92-2460 1189.93
1040 12/31~72 6/7/76 263-92-2460 974.68
1040 12~31/73 6/7/76 263/92/2460 1194.17
Place of Filing
Clerk, Circuit Court
St.Lucie County
Ft.Pierce,Fl.
Jacksonviile~ Florida
TOtB! = 4382.07
This certificate was prepared and signed at
. on this.
the 4th ~yof Dec er,19 80
Signature i Title ~
Van E, 0'Neal~ ~. Chief S eci
` , p al Procedures Staff
(Na~ cerr~~ic.r• a onre.r .u~norr:.d by r.w ro raUS acrcnowrwpn,~na t; 24t ro a Notlc~ a
F~d~n/ Tis UM O.C.~f. 2611~. 1~50~1. QB. t2b.j 11R~ ~~
~ ~~ ~ C 8ID
~ Pa~t 3- To be used for recordin~ purposes -_ Fam S68 (Rev. a78)