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Form 668 Department ot the Treasury - Inte~nal Revenve Service '
ifiev. SeDiembar i97bi~- -- Ger#~ficate of R~le~se of Federal Tax Lien -- ---
District Serial Number For Opf~ona- Use by Record~nq 0flrce
~ 521353 ~gs~ N~~ 23 p~; 2: 01
JACY.901(~II~S ~A~n~n hk_~~~ „o_1R4~
I certify that as to the foltowin -named taxpayer, the requirements of section 6325(a) ~ ~'~`~ ~^'~ ~~ ~~~~~~~ :?
9 S,.I er.i~ rt~ :r? Y s:,~.
of the Internal Revenue Code have been satisfied for the taxes listed below and Rc~GER ro~tRr.S
for all statutory additions. Therefore, the lien provided by Code section 6321 fo~ C;.En^K CtfiCU.! C[+~
these taxes and additions has been released. The proper officer in the office °~ '~ ~~~ r~• ~~~
~vhere the notice of internat revenue tax lien was fited on May 20th ,
19~~, is authorized to note the books io show the release of this lien for 5~13~3
these taxes and additions. ,
L T~_
ivd~i~~ 01 +aw~+ajici
Rob~act Llayd Harris
Residence
S10 Orang~ Ave.
Kind of Tax Tax Period Ended Date of Assessment -
! Identifying Number
(a) (bl fc)
---- (d) ----
-- -
~i ---- -
9e-i
~-+i 03-31-T9 1
o9-3a-79
i~-3i-79 I p~.i?-79
~
11-19-?9
o2-ii-eo ~ 99-i?4ooS8
99-17~aoS~
S9-i7~qoos~
Place of Filiny
Cle~t of Circ~it Cowrt
5t. Lacie Cvn~t~r Ca~rtAa~ae
Ft. Yi~~~ Fl. ~FjO
This certificate was prepared and sig~ed at JackSOnv' ~ e, F o' da __
the~i_ dayof March ,19 81
1 Unpaid Balanccs
; of Ass~ssment
~ [e)
--410.58 - -----
1.5~•T9
~ i.~o8.53
Total ( S
3.S'l3•90
, on this,
Signature
1
.., _ - ..,
(Nole: Cerfi/icafe ol oflicer aufhorized by la to take acknowledymonts is not sential to fhe• velid~ty ol Nofice oI
federa- T~: Lion O.C.M.26~t9. 1954t.C.9. 125J ~'~t~~ e~ ~ YW
~t~
Part 3- To be usad tor recording purposes _ Form 668 (Rev. 9-78)
Title