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F~ 668
(Rev. 8eptember 1978)
District
Oep~nment of tAe Tr~ssury - Int~rnd Rwenue Savice
Certificate of Release of Federal Tax Lien
~8f18I NUfllbQf S~V~7~~~ Fw OpHa~nal l/t~ O'Y R~eordlrq OHlc~
' JACRSONVILLE 2932Y9 bk-232 pR-2279 ~ FEB 13 ~~ ~5
ofthe In emal tReven e Code havebeen setisfiedf fo uthe tauesl isted below and S R GER ~1R SA.
for all statutory additions. Therefore. the lien provided by Code section 6321 for _ aE~ c~cu1T COuR
these taxes and additions has been released. The proper officer In the office ~ i.r.ns. ~•~ ~~_ ~; ~ ___
where the notice of intemal revenue tax lien was filed on ncteber ~ lOth .
19~y_, is authorized to note the books to show the release of this lien for 51~~
these taxes and additions.
Name of Taxpayer
Residence
Kind of Tax
fal
941
941
941
Harold Bickelhaupt
B 6 B ExcavatinQ Contractor
4750 U•S. 1
Ft. Pierce~ F1. 33452
Tax Period Ended Date of Assessment
(b) fc)!
09-30-73 09-30-74
12-31-73 09-30-74
03-31-74 09-30-74
Identifyin~ Number
fd)
59-1431846
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UnpaW Balance
ot Assessmont
[e)
8,539.39
13,388,6b
11,689.97
Ptace of Filing CLERK, CIRCUIT COUItT ~
ST LllCIE COUNTY T~~ = 33,618.02
FT. PIERCE, FL, •
This certificate was prepared and signed at Jacksom~ille _ Florida . on this.
the_3rsi_ day of ,19 _$.1
Signature / ~ j~ Title ~
Van E, 0'Nealv G~~C/ . Chief, Special Procedures Staff
(llot~: Certificate of o/tlcer authaired by law fo f~ke acknowlsdym~nb Js nof Ns~ntla/ fo ths valWlly W Nalcs ol
Fedsnl Tax Llen d.C.M. 26~1~. 7950-1. C.B. 1?b.) B~~ ~~~~~ ~
( Form 668 (Rev. 9-78)
; Part 3- To be used tor recordiny purp~ses
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