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p~ , OeP~rtment of the Treasury - Inte?nal Revenue ServiCe
~R~, ~,~,9~8, Certi~icate of Release of Federal Tax Lien
DiStfiC~ S8f181 NUR1b@f Fw Opt~a~a1 uss Dy Rxordirq On/c~ ;
Jii0adl2+~ 455512 Bk 31b Pg 2509 ~q~ ~rr .u .L _
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i certify that as to the following-named taxpayer. th9 requirements of section 6325(a) ~
af the Intemal Revenue Code have been satisfied for the taxes listed below and FI~fD tNf fECt~?^i;
SI.ICCtE CGt;~i? Y. ~ ; i. -
for all statutory additions. Therefore, the lien provided by Code section 6321 for t~~Gt~R rottr;;.r,
these taxes and additions has been released. The proper officer 1n the office c![pK Ci~Cwt rc~~
! whe~the notice of intemal revenue tax lien was filed on Auguet ZO ~ ~
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19 , is suthorized to note the books to show the ~elease of this lien~~for ~
these taxes and additions.
Name of Taxpayer ~1~ ~
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Unpaid Balance ~
Kind of Tax Tax PeNod Ended Oste of Assessment Identliying Number of As~ssment ~
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' ! 03~~'9 :l6~rb-iTiT 2l~D~AD ~
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Y This ~grt~ficate wss prepared and ~ig~~ Jacksonvil le. Florida ~ p~ m~~
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~ ~ 13 October ~ 83
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~ Signature T~e
~ A.41. SENDLER a~~~ ~ ~
CHIEF ADVISORY UNIT
Moac c«rrHcar. a ar+c« aurno?iz.d er aw to a~s .ckno.?.da,n.nn s no~ ~ss«nw to u» vd~duy a Narc. a
~ F.o«a~ ra: i.~.n o.aw. zes~a ~~o-~, aa ~za) ~
~ PBrt 3- To be used for reCOrdin~ purposes yl FoRn 668 (Rev. 9-7~)
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