HomeMy WebLinkAbout0967 i~
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~ b`b`8 Depnrtme
~r o! ~ne Treasury ~!nteir.ai Re.er.ue Seruce
R,. ~.eR,oe~ Certificate of Reiease of Federal Tax Lien
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D~strict Serial Number For Optional Use by Recording Olfice
605~74
JA(1IC3GNYII.I~, i+L. BK 399 PG 2923s~~ ,~~3 ri•,: I~ ~ t`j
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1 certify that as to the foliowing-nameo taxpayer, the requirements of section 6325(a) of the c! t ttC,;
Internal Revenue Code have been satisfied for the taxes iisted balow and 1er al~ statutory f~ f~'Gt
additions. Therefore, the lien provided by Code section 6321 tor these taxes and additions has ~ r`~~ ,.~f`
been released. ihe proper p( ficer in the oifice where the notice of 4ntemal revenue .ax lien was ~
filed on MaY Z ,19 z
~ 3 is authorized to note the books to show the release of this lien f
for these taxes and additions. ~
tvame of taxpayer C~O~
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,~;~i~~ SK~~~i(it3D }iGDG~ fZ k T
Residence ~j; p~~ ~ ~.~,t
Fo~t Pila~C~, FlaQ'id3 ~4~
~ Tax Period Date of Last Day for Unpaid Balance
~ Kind of Tax Ended Identifying Number Assessment Refiling of Assessmen!
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i ~9y'4~1 09-3d-api ~9-~9~483 il-23-~i 2z-22~-87 b~7.9?
F T'11 ~?31'S7z n h a ~,,-0?~2 ~~lJi7"OO 4~
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~ ~'ace o( filing CIRrk 0~ t!!A C~1'Ai~,t COfii~
~ st. Lnci• Cvunt~ c~ To~e~ s i~ii9.31
~ Faort Fs~ecc~, F'1c~accida 33~5a
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; cert~ficate was prepared and s~gned at Jacksonvil le~ Florida , on this,
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~ 4th day of ~ugust 19 83
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F S gnature Title
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A. W. Sendler Chief Advisor Un ~t~,*~~''1 ~~E
(Nof~: Cerr;f~core of oF~~cer ov}hor~zed by ~aw ~o ~ake ackno.v:eagemenrs +s no~ essent~o~ r~ the vol~o~ry of Not~ce o~ Federo% Tox L~e~
GC.M 26I19. 1950•1. C.B. 125.) CS CCC 8-4-$3
Part 3- To be used iw recording Purposes
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