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j ~ Form V68 ~~t of ths TreasurY - Intemat Rrvsnw SMViC~
j (Rev. $eptwnb~r 1978) Certi~cate of Release of Federa~ Tax Lien
~ District S~ial Number Fa oaraw us. er R.~o.ar~ onk.
( ~ly~ 567 549 Bk 37~
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; i ceriiiy mai 8s i~ the fdfowing-named taucpayef, the requirements of section ~325(a) cit [C Gkt ;
! of the-Intemal Revenue Code have been sffiisfied for ttae taxes listed below and ~ uc~f tc:;y'
~ RE1G R Pt11-s.;,:; ~
: for all statutory additions. Therefore. the lien provided by Code section 6321 for , -
i these taxes and additions has been relea~ed. The proper off'scer in the otf'~ce C~l~~~ c;Ki ~~1 ~
! where the notioe of intemal revenue tex lien was filed on May 28 ~S
~ 19~2___. is authorized to note the books to show the release of this lien- for
i these tax@S e11d additiOnS. ~
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, Name of Taxpayer
Gsrts~ds i Fcaat Naos~s
, R~~e_ i2t~ Aw~oyt ~
~t. Pi~res, llorida ~3450
~ Unpstd Bdsncs
KMd of Tsu Tax Period Eodsd Dats d Asse~ssment Identit~ritq Number af A~t
; w . te~ ~an c.~
10+t0 ta-31-79 03-l7-80 267-68-SOfii ' f.349.97 ~
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~ PIAC@ Of Fl~ing
~ Cl~~ric o~ tlwt Cirwit Cs~st
~ st. Luei~ Camt~ Co~tiMSw Total i
Ft. ~iaroa, T~oci~a ~i?50 ~ 1,349.97
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This CertifiCet6 W8S {Xepe~@d e~ld 8i9t1@d ffit J~lcksonvf 11 Fl c~ri da , pn mjg,
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~ t~ 4th ~ypf October 83
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_ ~ Part 3- To bs used for recording p~,rposes Forn 668 (Rev ~~8)
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