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Form 668
lRev. Septsmbe-1978)
Oeputment of the Treasury - Intemal Rwenue Service
• Certificate of Release of Federai Tax Lien
DisMct Serial Number ~~~~ Fp Optlonal Ut~ Dy R~cwdfnp ONlcs
, JACKSOtNILLE 346428 bk-258 pg-370
i certity that as to the following-named taxpayer. the requirements of section 6325(a)
of the Intemal Revenue Code have been satisfied for the taxes listed below and
for all statutory additions. Theretore. the lien provided by Code section 6321 for
these taxes and aclditions has been released. The proper officer in the office
where the notice of intemal revenue tax lien was filed on Seotember 30th ,
19~.~. is authorized to note the books to show the release of this lien for
these taxes and additions.
Name of Taxpayer ~
Residence
Jose Bilirilfo Barrios
Rt . 1 Box 512
Ft. Pierce„ F1. 33452
~ Kind of Tax Tax Period Ended Date of Assessment
+ ta~ te~ c~~
j 1040 12-31-73 12-02,74
i ~ 1040 12-31-71 12-02-74
S
~FEa~8~2~ig
~K ~e ` F~CO~OFD
S ROGER P~OITRA~A.
6LERK CtRCUti COU
_'r;t' ~:%~.. .^. - ----•
Identifying Number
fd)
263-59-8858
~~
J`~1'73'~''7
Unpaid Balance
of Assessment
r.~
269.03
2, 523.43
!
; Place of Filin9CLERK, CIRCUIT COURT
~
~ ST. LUCIE COl1NTY
~ PT. PIERCE, FL. 33450 .
This certificate was prepared and signed at Jacksonville, Flerid~
. on this,
~ the~th day of F~tu~~c ,19~1
Signature / Title
~ ~ n
Van E. O'Neal~~~ . Chief, Special Procedures Staff
~
(war. ce.r~r;~are or onwer a~,rnorr:eo ey ~aw ~o feke fcknorfeCyments ~R ~r~~s~wi ~, Ln~ ~ar;d;n, a~~ce a
Feds-al Tai ue.~ o.c.M. 2e~~s, i9sa~, c.e. izs.) ~ j ~~
BOtIK V PAGE „UcJ1
~ Part 3- TO be used tor teCOrding purposes Form 668 (Rev 9-78)
Total i 2, 792.46
~ •~~ ~ ~:~ : - ~ ~
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