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F~ 668 ~~~t ot the TrNSUry - IntKnal R~v~nw S~rvk~
~~Rw ~.~~.,~~e~ ~ertificate of Release of Federal Tax Lien
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District . Serial Number s., Fo- OM/onal Us~ Op R~ewdMiO OHICa
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e- c T. ~~ p nRg~ok ~ 2 v 2~80
I oe~tify that as to the fotlowing-named taxpayer. the requirements of ~ection 6325(a) ~~'
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of the Intemal Revenue Code have been setiafied for the taxes listed below and ~"_
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for a l l statutory additions. Therefore. the lien provided by Gode sectipn 6321 for
these taxes and additions h
b
l
d
Th
i ST~
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as
een re
ease
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e (xoper oH
cer in the office
where the notice of intemal
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t
li
fil
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R ~M{y_Ft~.
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reve
ue
ax
en was
e
on_~ct ~ 0 ~ a~ •.
19 , is authorized to note the books to show the release of this lien for a~ ~
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QF~~~~ ~,f.R
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these taxes and additions. ~~
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Name of Taxpayer ~ ~~
I,1- G. ~OOpER
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Residence -
pnBpx 16Rg
Kind of Tax
Tax Period Ended
Date of Assessment
IdenWyiny Number Unpsid Balance
of Ass~sment
N) (b) lW (dJ (e)
94i 06-30-74 09-30-'l4 59-1371609 8,183.31
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riace vr ~nmg
CLERK CIRCUIT COURT
ST. LUCI£ COUNTY
F1. PIERCE, PL.
Total =
8,183.31
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t This certificate was prepared and signed at JACKSONVILLE, FL. on this.
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the 19 day of ~ .19 81
Signature ~ ~ ,e ~, Title
~ ~~:~Cl~.~ I I
` V%~ ~l!:'WN C' " CHIEF SPECIAL PROCEDURES STAFF tt
(Not~: Cortific~ts of ollice~ aulhwized 6y law fo faka acknowledyments N not osaonti~l fo tM valfdUy o/ Notlc~ of
FWanl TaY Livn O.C.AR. 2A1f0, f954f, C.B. f?b.) •~
' Part 3- To be used for recording ~ es p~~~~ Form 668 (Rev. 9-78)
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