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fa~ eJ8-F U. S. TREASURY DEPARTMENT - INTERNAI REVENUE SERVICE F« qp,a..l Us. Brltece.d~~s OF/~c•
• cR~. NOTICE Of FEDERAL TAX l1EN UNDER INTERNAL REYENUE LAwS
DISTRICT SERIAL N0. ~ F~LEO AIVD RECOROEO~
Florida 115873 B-63 P-335 T• LUCIE COUNTY. FL,q,
Pursuont to the provisions of Sections 6321, 6322, ond 6323 of the Internol Reve• CORD VERIFIED
nue Code, notice is hereby given that there hove been ossesssd under the Internol 1g~Q51
Rsvenue lowa o( the United $totes ogainst the following-named toxpoye~, taxes e
(including interest ond penalties) which after demand for poyme~t thereof remain~~7 ~ :~M ,
unpoid, and that by virtue of the obove-mentionsd statutes the amou~t of soid toxes, ~
together with penolties, interest, ond costs thot may occrue in addition thereto, is ~
a lien in (avo~ of the United Stntes upon o!1 property ond rights to property belong- ~
~~9 fo So~a tax~y~.. ROGER 'OITRAS ~
ERK CIRCUlT COURT;
NAME OF TAXPAYER
Maynard H. Smith, 3r., M. S. Plastering Co. .
10 ut ed 1 w
RESIDENCE Fort Pierce, Florida
UNPAID BALANCE
TAX FORM NUMBER PERIOD ENDED ASSESSMENT OATE IDENTIFYING NUMBER OF ASSESSMENT "
(o ) ~b ) ~c ) (d ) (e 1
~ 940 12/62 3/25/63 59 0566832 663.07 .
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~ PLACE OF FILING
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~ Clerk, CiYCUit COUrt TOTAL S 663.07
~ sc. ~cie co~cy _
~ Fort Piezce, Florida
~ NOTICE Of fEDERAI TAX LIEN REfILIN6
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; IRS SERIAI NUMBER RKORDER'S IDENTIFICATION NO. _ _ _ -
~ Clerk, Circuit Court
~ NOTICE FILED WITH_St• LuCi@ COUilty, Ft. Pierce, F10lid8 _ DATE
" TAXPAYER'S RESS
~ (I ~fferent than shown oborey , _
~ SIGNATURE '~~~f ~ nne ~ief, special Proceduree Section
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~ West Palm Beach, Florida ~
a' WITNESS my hand at _
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~ the 23zd day ~-~y 19-- 63 -
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4/Daaiel J 0'Connell OCF Su ervisor
SIGNAYURE - ~ ~ - TITIE p -
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~a {NOTE: Certificate of officer authorized by bw to take acknowledgmenls is not essential to the validity of Notice of Federal Toa Lien =
~ G.C.M. 26119, C.B. 1950-1. 125.) Pb ;
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~ PART 1-To be retained by recording office
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