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~ f~ Q~Q O~O~~~It Of IM Trwuty • Int~tld li~vMfw 8~vio~
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«,.~;~,~.,~~e, Certificate of Release of Feder$i T~x Lien .
DisMct S~eria! Number 5~~.~ Fw ovu«~~ vs. a~ora~ wno.
Jat~Sil3,~~ R 501311 BK339 PG1946 ~~T 26 ~
I certiry that as to the failowin~--named taxpayer~ ihe requfreme~ts of aectio~ 8325(a) F~: t c~?+c F! c cKCr o
n st. ! u~~t cc ; f. t~ a.
of the Intemal Revenue Code have been setisiied for the taxes liated betow snd nr.c,:.rt ~ ~~.'s
for aii statutory additions. Therefore. the lien provided by C,ode section 8321 for C~EFK ur C U ~ t c e u~ ;
these taxes and additions has been releassd. The proper off'~cer in the office aECa~t: ~~i ~~F ?~G - t
where the notice of intemal revenue tax lien was filed on September 30 , }
19_~Q_, is autho~ized to note the booka to show the reiease of thEs lien for SL~21~ {
thes~e taxes and additions.
Name of Taxpayew~ LM ~ ~
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Lsls~ i~M i 1Mr ~
Residence 1~11 AOl~~ ~ .
~t f~i~roa, R 334~2 .
tinpsid ealanca -
Kind of Tax Tex Period Endsd Dste of Asssama~t IdartHyinp Nwnbsr of Assessmart -
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~ £
~ ~~11 7~Z ~1~~~~ ~~~7~n ~
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~ 4 P1ace of Filing C~~, Cis+eait C~t~t _
~ ~ ~L L~rCi~ trwatp Total =
~ 1t ~i~t~p, !L 394Stf ',32~.77
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~ This certificate was prepared and signed at Jacksonville, Florida , on this, "
~ the 13th day of ber ~~g 81
Signature Title (iR
8~ 5 PA~E 975
~ VAiV E ~ • CHIEF SPECIAL PROCEDURES STAFF
~ Mar. Csrtdic~t~ ol otlica~ ~utAOrtrsd by !aw to uks ~cknowl~dpm~nts is not tsssndtl ro tM r~/idlty o/ Notic• w
~ F~d~ra/ Tu Ll~n a.C.M. 26110, 1Q641, C.B. 12b.)
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Part 3- To be used for recordin~ ~rposes, Fofrr? 688 (Rev. a-78)