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~ 668
cRe,-. s.a.m~.,
Oeputment of the Treawry - Intemal Rw~nu~ SKVfca
Certificate of Release of Federal Tax Lien
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DisMct Serial Number ~~ Fo. ovnoo.i us• py R.~o.aww onr~.
JACKSONVILLE . 325477 OR 247 Pg 2618 . ~~ ~9 ~ ~~: 09
I certi that as to the fdlowi ~
ng-named taxpayer the requiremertts of section 6325(8) FnEp A R
FC0~0
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of the Intemal Revenue Cocle have been setisfied for the taxes listed below and ~~TY•RA.
ROG~R
for all stetutory additions. Therefae. the lien prarided by Cocle section 8:i21 for P(HjRAS
CtERK C~~T ~~t
these taxes and additions has been relea~ed. The proper oKcer in the office ~
kfCna~ ~~~a~F~r
~
where the notice of intemal revenue tax lien was filed on Jan. 21, 197,6 ` __ _
_
19 . is authorized to note the books to show the release of this lien for ~
these taxes and additions. ~
Name of Taxpayer
Idilliam G ~ Margaret Cooper ~
Residence
451 S. Naran~a
Unpaid Balance
1(Ind of Tax Tsx Period Ended Date of Assessment Identifying Number of Assessment
(a) (D) (c) (d) (s)
1040
I 12-31-73 08-05-74 229-16-1341 $ 5445.13
r~ace oi rmng
Clerk of Circuit Court
St. Lucie County
Ft. Pierce, PL33450
i
T~~ s 5445.13
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~ This certificate was prepared and signed at_._ JACKSONVILLE, FL. . on this.
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the 19 day of Feb . ~ g 81
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Signeture TitlP
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I V~ E CHIEF SPECIAL PRO
Ma~c ce.r~trc.a w anc.r au~no.~rw ey ro ake ~cknowledpmenfs rs nor~ entfal ro tns v~~w~ry a Noric• a
Fea..,r ru u.~ o.c.M. ze~» i~sa~. c.e. ~za_~ 8(~~ P~~~
! Part 3- To be used for recording purposes Form 668 fRev. 9-78)
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