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; Fwm 668
,
~ (Rev. September 1
Depertment of the T~easury - Internal Revenue Service
Certificate of Release of Federal Tax Lien
District Serial Number Fp Optionsl Use by Recoitl~ny Of/ice
5~i~2 i N~R 23 P~# 2~ O7
Jy~~~ 51686 bk- 48
I certify that as to the foilowing-named taxpayer, the requirements of section 6325(a) fi:FC ~h~ ~ft(:HCI D
S-.~uC~l tOuYtl:t t A.
of the internal Revenue Code have been satisfied for the taxes listed below and ~
for all statutory additions. Therefore, the fien provided by Code section 6321 for HUGER Pc~ITRh5
CtE~K Ct~C~~:T Ci~~Ri~
these taxes and additions has been released. The proper officer in the office ~r' ~'~ 1'~~ ~~~ ~- ~~ --
where the notice of internal revenue tax lien was filed on Fphrt~ara. 1'3*h
e
r
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j
n for
19~1_, is authorized to note the books to show the release of this j,
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these taxes and additions.
Namw nf Taxoaver
Wi~iMAK 8 d~ l3ARH~AR~ ~
Residence
266 Mi~i~1s Ilr.
Ft. Piraee~, Fl. 33b'~
Unpaid Balance
K~nd of Tax Tax Period Ended Date of Assessment i Identifying Numbe~ ~ of Assessment
-(a) fb) _ ~ fc~ ~ (d) -~ !e)
10~0 i2-~i-?9 08-i1-80 ~ ~66-52-9'ji4 16,84x.8B
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Place of Filing • ~
. Cl~slt at ~it Caa~t . ~ 16 842.88
~~ ~~ ~~ ~~ Tofal ! $ •
' P't. Pie~~ Fl. '~4',~ ' ;
Th~s ce~tif:ca2e :vas prepared ar.d s~gned at __ . Jacksomrille~__Flor~d~_____ _._ _______________ ________ , on ;his.
-- ~- --- ---' Title
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(NGte: Corr~t,cate ol otf.cor auth :nte~i by faw b take acknowJOdgm,onfs is not e~senha! to Ihe vaJ~ddy o! Nof~ce o/
Federa! Tar Lien G C.M. 264t9. ~9547. C.B. 125.) ~~ ~ vw
~ ~~~ ~ ~~ ~ ~ Form 668 (Rev. ~78)
Part 3- To bo used for recording purpases.
the _16th_ day of _ Ptarch , _ 81
Signature - - -
Van E. O'Neal