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Fe~ ~d U. S. TREASURY ~EPARTMENT - o+rEttru?~ aEVENUE SERV~C! OM~ f Uu Recalry Of~
(REV. &67) MOTICE Of FEDERAL TAX IiEN UNDER INTERMAL REYENUE IA~MS ST. ~UC~~ COUNTY. FLA.
DISTRICT SERUL NO. i 7~(~ ~,~~~~FI~D ~
a.a~o~.i.~. 191~~
Pursuont to th~ provisions of Seetions 6321~ 6322. ond 6323 of th~ Intarnal Rev~- 4
nw Cod~, notic~ is hereby 9iven thot th~r~ hov• be~o oss~ssed v~der the Inter~o) ~ MAn ~ 2 pM ~
R~v~nw bws of tha jJnitsd Stotes oQuinst the /ollowiny-nomed toxpoy~r, tox~s • ~
(includinq int~rest ond p~naltiss) whic6.oFtsr d~~ond for poymant thereof remQin ~ ~ ;
unpoid, ond thot by vi~tw of tht obov~-m~ntiotNd stotutts t6~ omovnt of said toYes, ~
to~ethN with penolti~s, int~r~st, ond costs thot ~qoy accru~ in oddition tMreto, is f`~~~`-'~ ~~~+S~ ~
o li~n in fovor o( tM Unit~d Stotes upon oll p~opsrtr ond ri9hts to propsrty b~lo~y- C~-~~K ~~RCU~T COURT•' ~
in9 ro soid taxpoysr. ' ` S
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NAME OF TAXPAYER
J1l~~V ~i~ ~t ~1"T lI~ dAT~iII
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°~5l~€NCE--- _ - - - _ _ _ _ - _ _ _
At 3 Hooc 490. l~ort Ps..rc., 1~lorsd.
CLASS OF TAX UNPAID BALANCE ~
(7ox Raturn Form No.) PERIOD ENDEO ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~a 1 ~b) ~c 1 (d ) ~e) ~
~iv ~~3~ ~~~7 Z~ f ~'~7T7 ~~1
f
i
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I
f
a
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i ~
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!q ~
S
~ _ - - _
~ - - - - ~ £
6 ~
a ~
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~ ~
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~
a
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~ PUCE OF FILING ~
= Cle~ic, Ciranit Conri 622.91
' st• LU~C~ COU~~ TOTAL S
° P~'te ~ePO~~ ~i!!'s+di
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WITNESS my hcnd ot 1iIT~8t Pi1Ia1 Bsiah~ lr3~or~lyda , on this ,
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~ the 1 doy of ~h ,19 ?0
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SIGNAtUR TIT LE
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~ t~s c. a~avgs c~oop su~vz.9o~
ei
(NOTE: C~rtificot~ ei ol(~c•. ovrho.;:.d br low ro ?ok. ocknowl.dy~.ms is not ~ss~Miot to th~ validit~r of Nv~ic~ d F~d«s{ Tmc Li~n G.C~A, '
.r 26I19. C.B. 195051. 1ZS.) 6~~~ #
~ PART 1-To b~ retain~d br ncording offic~ - -
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