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Fenu 664 U. 5. TREASURY DEPARTMENT - iHrEaN~~ eEVEHUE SErtvetE Fo. Oono.ol use Br Reco.d~.q 0~~
iREV_ &671 NOTICE Of fEDERAI TAX l1EN UNDER iNTERNAI REYENUE IAWS ECOROED
DISTRICT SERIAI NO. cT• Lt~'CIE COUNTY, FL,~`•,
:~r ^ c~(~ ~:c;~l~!t'(?
Jacksonville ~8616~
Pursuont to the provisions of Sections 6321, 6322, cnd 6323 of the Internol Reve-
nue Code, notice is hereby given thot there Fwve bte~ ossessed under the Interna) ~69 '~~V 25 fi't 3~ 3~6,'
Revenw laws of the United States ogoinst the following-named toxpoye~, toxes ~
(includin9 interest ond penolties) which ofter demond for poyment tfiereoF remain
unpoid, ond that by vi~tus of the above-mentionsd stotutes ~he amount of soid taxes, G
togeth~r with penaltiss, i~terest, ond costs thot may occrue in addition thereto, is '~~1v~~ t Q1~
o li~n in fovw of the United Stotes upon oll p~operty ond rights to property belong- rL~fZK i„R~()~'T (,`~(~~T
ing to soid toxpoyer.
NAME OF TAXPAYER
Andre~r J. Nall
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kESIDENCE
2729 South 25th Street
~'ort Pi.erce, ~'lorida
CLASS OF TAX UNPAID BALANCE
tTax Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(01 (b 1 ~c ) (d ) (e 1
~ io4o i2-3i-68 5-30-69 258-2ao86~ ~24i.oo
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~ PLACE OF FILING Clerk~ Circuit Court 2L~1~4p
° St. Lucie COtlri'ty TOTAI s
Fort Pierce, Florida
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~ WITNESS my hand at West Palm Beach. Flol'~.da , on this,.
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the 2 th doy of Novembel' ,19 69 -
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SIGNATURE TITLE
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~ 0`NiAS~ . VES GR,OUP SUP~tVISOft
~ (NOTE: Certificots of o~(ic~r oulhori:ed by law to toks acl~nowledymer:ts is not ~ss~Miol to the validity oF Ndie~ eF F~dsrol Tax Lien G.CJrI.
26~19. C.B. 195051. 145.) ~.i~
PART 1 To b~ retain~d br recording office
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