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. Fen~ 6G8 U. S. TREASURY DEPARTMENT - INTERNAL REVENUE SERVICE Fo.Op.~oo.l Uu B~ R«o.dMy ON~~• !
caEV. e.s» NOTICE OF iEDERAI TAX IIEN UNDER INTERNAL REYENUE LAWS Rll~p~ANO`RECOROB67 '
DISTRICT SERIAL NO. ST• ~-UCIE Cd(~N~;
Jacksonville RE:CORO VERfF~EO ~
Pu~svant to the provisions o( Sectio~s 6321, 6322, oad 6323 of the Intarnal Reve- ~ ~
nve Code, notice is he~eby given thot ther• hov• been ossessed under the Int~rnot
Revenue laws oi the United Stotes ogainst the followiny-nomed toxpayer, toxes '69 I~y js~y_ ~
(includiny int~rest ond penoltiss) which ofter d~~ond (or poyment thereo( remain 5~~~
uopoid, and'thot by virt~e of tht abovs-mention~d stotut~s the omou~t of soid taxes, V ~
topet6~r with penolties, inte~tst~ ond costs that nwy occrue in oddition the[~to, is ROGER POITRQS Y
o lien in iovor ot the United Stotes upon all property and rights to ao~.~Y bei~9- CLERK CIRCUIT COURTj
in9 to soid wxpoyer.
NAME OF TAXPAYER
Haskell T. & Clarene 9nderson ~
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RESIDENCE
915 Angl,e Hoad
Fox~t Pierce Florida
CLASS OF TAX UNPAID BALANCE ~
(Ta: Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT ~
(o ) ib 1 ~c ) (d ~ ~e ) i
j lol,0 12-31-68 5a3-69 286-20-5992 $1,1~94.28
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~ PLACE OF FILING
~ Clerk, Circuit Court 1 494.28
~ St• Lucie COl1rit.31 TOTAL S ~
~ Fort Fierce, Florida
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~ WITNE55 my hand ot West Palnt BeaCh. Fl.ol'ida _ , on this,.
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,g~ doy of Nevember ,19 69
~ the 13th
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~ SIGNAT TITLE
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TtI02~iAS C. GRAVES Gi~OUP SUPERVISOR
(NOTE: CNtiiicot~ of off;c•r ourhori:•d by lew ~o eak• ocknowl~dya~ems is not ~ss~ntiol ro tFr volidify of NWic~ d F~d~rel Taa Li~n G.CJiA.
~ z~.~9, ~.8. ,95os~. ,zs.? ao~181 ~ ~8S .
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~ PART 1 To be rotained by recording office
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