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Perw bba U. S_ TREASURY DEPARTMENT - INTERNAI REVENUE SERVICE Fa 1 U -
(REV. &67) NOTICE Oi FEDERAI T~X l1EN UNDER INTERNAL REYENUE LAwS gT, ~UCIE COUNTY, FLA.
DISTRICT SERIAI NO. R,;~pR~ `~ERIFIEO
Jacksonville .L~~
Pursuant to th~ provisions of Sectioos 6321, 6322, ot~d 6323 of th~ Int~rna) R~ve-
nw Codf, notice is her~by given thot th~r~ hov~ bt~n a:s~ssod und~r th~ int~rnal ~S9 ~~r~ JY FM7 a: 4q
R~v~nw bws of th~ Unit~d Stotes ayoinst the .followin9-oomed toxpayer, tcx~s
(ir.cludin9 int~r~st ond p~nolties~ which oft~? dewond fw payment th~reof remoin
unpoi+, ond thot br virtue of ths above-m~ntioned stotut~s th~ omount of soid toxes,
to~th~r with p~nolti~s, int~rtst, ond costs tlat awy eccrw in additio~ tMr~to, is ~~G`~ t ~IT A$
a li~n in fovor of 1M United SMfss upon ol~ propt~fy ond ri~hfs fo ~oP..~y b.io.?s. CLERK CIRCUIT COUR ~
in9 to soid roxpoyer. _
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NAME OF TAXPAYER ~
0 B TAYLOR-ST AI, <
T t~c C FAtiMS ' ~
RESIDENCE r ~ ~X 35~ ~
Fo~i.:T F Irr3Cl~, ~.~1. 33450 ~
CLASS OF TAX UNPAID BALANCE ~
(Tox R~turn Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a? (b) (e ) (d ) (e) ~
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i W~ 943 6812 03-0?-69 5964304650012 908.05 #
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' W~ 943 6812 03-07-69 59643~4650003 35g.~o #
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~ WH 943 6812 03-07-69 5964304650004 265.77
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~ PLACE OF FILING `
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~ Clerk, Circuit Court ToT~~ t
~ St. Lucie County 1,53z•b2
~ Ft. Pierc~ Florida
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w17NES5 mr hand ot Niam~, Florida , on this,.
~},.~~r af dune , ~q 69 '
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SIGNATURE TITLE
e. ChieP OfYice Grou
MOTE: G«e~fico~. d e(fiea .url+.rls•d ~r • tdu ~cknw•l~dy~~s ~s net ~~~~n~~~l te ~h~ •eliditr of NMic~ d Fd~.~l Te: Li~n G.CJiA.
~19, C.B. 193451, 145.) .
~ 1 ~ART 1 To b~ ntaie~d br nconlin~ offic~ iW~~~ ~141i
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