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Fo~~ ~g ~ . U. S. TREASURY DEPARTMIENT - u+TertN~~ REVENUE SERViCE Fa Oye~on~l Us~ By R~cwd.~ OH~c~
(REV. &6)) NOTICE OF FEDERAL TAX IIEN UNDER INTERNAI REVENUE LAWS fILED AND RELOROEDi _
DISTRICT SERIAL NO. $T, LUCIE COUNTY. FLA.'
St Paul Hinnesota . RF. C~! F'. D`!~ ~t I FI E D =
Pursuont to tht provisio~s of Sections 6321, 6322, 3 of the Internal Reve- 1883J1 2
nue Cod~, notics is hersby given that thece hove bstn ossesssd under the fnternal
Rev~nw lows of the United States ogainst the following-named toxpoyer, taxss '10 JAN I y PM
(includiny interest and perwlties) which ofter demond (o~ poyment thereof remoi~ ~ C~
unpaid, ond thot by virtue of the obove•mentioned stat~tes the omount of said toxes,
togeth~r ~rith psnolties, interest, ond costs that moy occrue in oddition thereto, is ~;,u:~`~ ~O~TRaS ~
o li~n in Fovor of the United Stotes upon all propsrty o~d rights to property belony-,
~~y to :o~d to:Poyer. CLERK CIRCUIT COURT~
NAME OF TAXPAYER
Sam R. & Yallian A~erbook S~ 1t70-09-3a18 -
RESIDENCE • i
2039 weed7~.aY?d Avs.
Duluth, Nirniesota 558e3 -
CLASS OF TAX UNPAID BALANCE i
ITax Return Form No.) PERIOD ENDED ASSESSMENT DATE IUENTIFYING NUMBER OF ASSESSMENT
(01 (b) ' Ic) ~ Id) (s)
l040 12-31-68 5-23-~6! 470-09-3118 1287.b1~
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~ PLACE OF FIUNG ~lerk ~ircuit ~ourt
~ St. Lucie ~+'.O'~II't'i~ TOTAL S ~8?•~t
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Ft. Piarce, Fla.
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WITNESS my hand ot ~u~~ ~esota _ , on this,. ~
th~ 17th doy of ~t~ve~ber ,19 ~
~ ' GNATURE 71TLE
. • Rs~eanue Offiaer
(NOTE: C~rtificot~ d o i:~d by iow to tok~ ocknowl~dya~ms is not ~ss~ntiol to 1M validitp of Hdic~ d F~d~ro) To: Li~n G.C.M.
2sai9, C.B. 195451, ~zs.~
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PART 1-To b~ ntain~d br ?ecording offiu d00K PIIGE
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