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Dep~~tment of the Treasury - Internal Fiwenuo Servi¢e
Certificate of Release of Federal Tax Lien
~~ Serial Number ~isQC' Fw ovnww u:. eY R.~wa~ onk.
~~Fr ~ 13 AM 1~5 ~
J<CKSOI'VILLE 301075 bk~236 p~-826
I cefify that as to the fdlowing-named taxpayer. the requirements of section 6325(a) ST IUC~ C~OI~A~~tY. Ft A.
of tfie IntetA~t Revenue C,ode have been seNsfied for the taxes listed below and ROGER POITRAS_ _
for all statutory additions. Therefore. the lien provided by Cocie section 6321 for aERK CtRtUtT C jv
r'.P^\'f~F~i1{fs ~
tt~e~e taxes and additions has been relea~ed. The proper officer in the offic~ - --- ---- -
where the notice of intemal revenue tax lien was filed on Februarv lOth . 5168fi2
19_.J_5__. is autho~ized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer
Jerane Ben~ amin
Residence
2707 Walker Dr.
Ft. P_ ierce F1 33 452
~ Unpald Balance
Kind af Tax Tax Period Ended Data of Assessment Identifying Number of Assessment
(a) ' (DJ (t) • fdJ fsI
; 941 03-31-73 09-23-7k 59~154703 661.65
~ 9k1 06-30-73 09-23-74 " 255.27
941 09-30-73 09-23-74 " 336.85
941 12-31~73 09-23-74 " 453.33
941 03-31-74 09-23-74 " 458.16
941 06~30-74 09-23-74 " 170.33
Place of Filing
~ CLERK, CIRCUIT COURT
ST. LUCIE COUAfl'Y
FT. PIERCE, FL.
This CertifiCat@ wds prepered arld Signed 8t Tarlcaonville: Florida
T~al =
2, 3~5. 62
, on this,
the~L1L_ day of ~ .19 .Sa
Signature / ~ T~1e
Van P. O'r:ealV~a'~(/ . Chief, Special Procedures Staff
' (Nobc Ca~ti/icsfs o/ oNicM aufhorfzed by !aw fo aks acknowtedpm~r-ft !s nof ~ssonNd to tM valMNy of Notics ol
~ F~O~n1 Tnt LNn O.C.M.26~fa 1Y54f,C.B. f25J VW
~ ~~~ ~~~~~ Form 668 (Rev. ~78)
z ~ Pan 3- To be used tor recording purposes
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