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FOrm~S6$ •- DEMRTMENT Of THE 1lEASURY-~IfERNAI REVEt~{!IE SERVKE For Op-iorwl (he Ay Reoordng ON'~ce
~eEV. ~a»~ CERTIRCATE Oi REIEASE Of FEDdtAI TAX LIEN
DIST
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9ONy~L1
E SERUL NUMBER ~~~
.
,
. 2936 bk-232 -
I hereby ceriify that os to fhe followin0-nam~d taxpayer the requirements of Setlion
t
6325
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(a),
nterna
evenue Code, have been ~tisf
ied with respect fo the taxes enu- ~'~ ( 0
_
merated below, together with all staFutory oddition; provided by Section 6321; ond ~
Ihat the lien for such taxes and statutory additions hos thereby been relecsed. The sT EO A i R~E
~
pr~~g er ip ~h~ oH'ice where notice f internal ~evenue tax lien wos filed oo
Z z~l
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.
R R t~S
, 19
, is hereby authorized to diake notation
on his books to show the release of said lien, i~sofar os the lien relates to the follow- CLE CIRqMT COi1R
~
ing taxes. 4ECOR51'ERIFtEC___. G~
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NAN~_O_ F T(~X Y~ E~~ .
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Pit~oeo.,FL 93~~0
UNP/UD BALANCE
KlND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFl(ING NUMBER OF ASSESSMENT
(a) ~~ f~) (d~ (e)
94~ Q3-~74 ~-2~-7~4 'S9-]~22A08 i~i ~a96.b2
PIACE OF FIUNG
$r. waE oa~ an
~ ~ ~ TOTAI S 4~3~'i_6~
WITNESS my fwnd at Jacksonville, Florida , on rh~s
~ 18th ~y of February , 19 81
SIGNATURE / nnE _
Van E, 0'Neal ~ .
(NOTE: Caiificote of officer outfarized by law to toke xknowledgments is not esseotial to the validity of Notice of Federd Tax l~en G.C.AA.
?6119 C 6 1950-S1 125 ) (~
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