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~ Fp~ 668 , Departmenl of the Treasury - Intemal Revenue Service
~~,,.~t~,~, Certificate of Release of Federal Tax Lien
; Distrlct Serial Number ~~t For o~rtona~ vs. by a«b.d;n~ onrce
Li~~a~E
~~aairaQU~ 587388 Bk 388 Pg 1747 ~~Y I 8 AN 9~ 4 7
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I certify tbat as to the following-named taxpayer, the requirements of section 6325(a) K
of the lotemal Revenue Code have been satisfied for the taxes listed below and for ~~~Et ~+ef CnF ~E~ ~
SCLUC~ECCUV.
all statutory additions. Therefore, the lien provided by Code section 6321 for these HUG~R 1~rn ~~a:~ I~
taxes and additions has been reteas8d. The proper officer jn the fice whe~
flthe CtEp.K ClFCUIt CCu~t
notioe of intemal revenue tax lien was flled on November 3~ , ~s t31 , :~,.F r~~; , ~ ~
is authorized to note the books to show the release of this lien for ihese taxes and ~~~p ~
~ additions. , alfr~~~
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~ Name of Taxpayer _
~ .
ra~a s ~ ~ c~s
Resldence
1 ~11s P l+Q~ li. ~
~ Unpaid Balancs
Kind of Tax Tax Period Ended Date of Assessment Identiiying Number of As~essment
(8) (b1 (~1 (d) (el
lo+~o i2-~-ea o6=~-82 ~3-3~-7~ i,a6.i4
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; Place of Filing _
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~ ~T T~CI~ ~ Total = l.Ut6.i4
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` This certificate was prepared and signed at Jacksonville, Florida ,on this,
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~ 30 Se tember 83
~ the day of p .19
~ Signature ~ Title ~
~ E~ ~ ~
A.W. SENDLER CHIE,F ADVISORY i1NIT
Mot~ Cerfllicafe ol oll/cer euthorized Dy /aw fo fake acknowfedyments !a not essenlial fo fhe validiry oI Nofice- o/
~ Fede~al Tax Uen G.C.M. 26I19, 1950~1, C.B. 125.1 1
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~ Pah 3- To be used for recording purposes Form 6631Rev. 9-78)
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