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F~ bbs U. S. TREASURY DEPARTMENT - INTERNAI REVENUE SERVICE Fa. Opwrl Us~ Bp R~coajiy OHic~
cRev. ae~t NOTiCE OF fEDERAi TAX IiEN UNpER INTERNAL RE~NUE lAwf
DISTRICT SERIAL N0. LEO AND RECORQH~j
Jackaonville S LUCIE COUNTY. FIA.
RC Ct1i~f1 V~RI~tED
Pursuont to th~ provisioes af Sections 63~1, 6322, ond 6323 of th~ lnt~rnal R~v~- ~y[]/~~
nw Cod~, notie~ is htr~by 9iven thot th~re hove b~~n oss~ssed under th~ I~hrnol ~p~~1GI/G
R~v~nu~ kws of t6e Unit~d Stotes opoinst the followin9-nomed toxpoy~r, tox~j~. tt q Au ~
(ineludin9 int~r~st ond p~nolties) whieh oft~r d~mond for poym~nt th~r~of ~~moir~l~ U~ ' G i~7 ~ I
unpoid, and that by virtw of th~ obort-m~ntion~d statut~s th~ omount of soid tox~s, !~f/~t~
toy~th~r with p~nolti~s, int~r~st, and tosts thot ewy accrw in additior~ tMr~to, is ~~f
o li~n in Favw of tM Uoit~d Stotts upon oll p~openy ond rights to p~op~rty b~lon9- j~Q;~L~p s'V1Tt~a$
iny to soid toxpoy~r. ERK CIRCUIT COURT
NAME OF TAXPAYER
JOtlt7 DI127!
RESIDENCE
1 North 16th Court Fort Pie ce Fla
CLASS OF TAX UNPA10 BALANCE
(Tax Rsturn Fwm No.) PERIOD ENDED ASSESSMENT DATE IDENTtFYtNG NUMBER OF ASSESSAIENT
(a) ~b) !c) ~d) (e) -
1~H 943 12/6? 3/5/~ 59643055~47 886.01
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PLACE OF FILING Ln].e~~ C3,~•Ct~t COU2'~.
$t. Lucie County TOTAL S
Fort Pierce, Florida 886.01
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WITNESS my hand at Miami~ Flnrida , on this,.
~ the 1Qth. day of June ,19 bg ~
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; SIGNATURE TITLE
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~ (NOTE: Ce~ti(lcot~ of ofFie~r outheri:e6 a.v re tok~ ocknewl•dy~w.nts ts ~+o~ •,s•n~iol ~o rin .ol~d~~r oi Na7c• of F•d.rel Ta: Li•n G.~~nl, ~
~ ~~9, c.s. 19Sd51, ~zs.~ ~ ~ ~
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~ART 1--To b~ nlain~d br ncordir~ ofAp
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