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Form ~8 . ~~m~nt of Ms TnpwY - l~t~mili R~wnW 8KViC~ ^ -
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;~R~,.~~.m~,978, Certificat~ of Release of Federai Tax lien .
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; District . Seria! Number A~~ For Optior?d Us~ by A~corOJnp O/Nei
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~ 540371 BK362 'PG291
~ ~FI.s~ thl ~'.C(:~~;'EO
~ 1 certiy that as to the tollowing-named taxpayer. the requirements of section 6325(a) ~ a
; of the Intemal Revenue Code have been satisfied for the taxes listed below and S~H: ~:ft? +'-yT ft••s
fOf 81) StetUtOry addltiOfl3. ThAfAfOfA, the lien prc~vided by Code section 6321 for ~LER+I C:~~'•%U~T CdU~S
f these taxes and additions has been released. Tfee proper officer in the office t; c,.;; ~'F r'
; where the notice of intemal revenue tax lien was ~led on August 25 ~ C~~?1s
; 19~g,}~ , is authori2ed to note the books to show the release of this lien for v
" these ~sxes Snd additior~s. -
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' Name of Tazpayer -
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; Resldence ~1 ~ ~ .
j ~L 3~i32 .
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~ IUnd d Tax Tau Period Ends~! D~te of A~t ldentffrfig,Numbsr ~ - ol AsseameM
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~ li3~1! ~012 03~23-~1 ~1221i1~ " 4,~34•1!
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~ Place of Filing -
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~ This certfficate was prepared and signed et Jackeonville, Florida on this,
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~ the 13th dayof tober ,19 81 _
Signature G~7L1 Title
~ B(~K PA6E
~ ~ CHIEF, SPECIAL PRdCEDtJRES STAFF
~ (iiobc C~rtNluf~ ot oltkK ivthorizad by law to taks ~cknowlWQm~nb b nof ~saMt1N tp N» w1iOMy d Notk~ oI
~ F~d~rd Tu L/en O.C.Y. 2MfY, 1~64f, C.B. f?b.) ~ SVtl
~ Part 3- To be u~ed for ~ecording purposes F4^r' ~'~s~