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HomeMy WebLinkAbout2186 • a V , - • i~:., " ' . tj , F0~ ~ U. S. TREASURY DEPARTMENT • ~HTERNAI REVEquE SERV~GE Fa qN~wl U» 9~r R«e.d.es ON~c~ ~Rev. ~en NOTICE Of FEDERAt TAX LIEN UNDER INTERNAI REYENUE LAwS ~ DIS7RICT SERIAL NO. ' 7" J 1~']Arida FIt.ED ANO REGORp~p~ , Pwsuont to the provisions ot S~ctions 6321. 632Z, ond 6323 of th~ let~rnol R~v~- sY• ~-UC~ C.OVN~~ ~ nw Cod~, ootice is Mrebr yiv~n thot ~h~r~ hor~ b~~n oss~ss~d wKi~r the Int~rnel RECOEtO VERIFtED ~ R~v~IIYt laws o{ tM Unit~d Srotes apoinst th~ .iollowinp-non~d taxpar~r, rox.s . i91546 ~ (including int~~est ond p~nalties) w6ich oN~r d~~ond for porwNnt th~reof ~~nain ' O ~ unpoid, and thot by vi~tw of th~ obov~-nNntioned statut~s th~ amount of soid tox~s, ~ Zt \ to~tl~a witi~ penol~i~s, intsr~st, and costs that rwey occrue in oddition tMr~~o, is e li~e in fovor of tM Unit~d Stotes upon oll prop~rty and ri9hts to prop~rty b~lonp- aY" inq to soid roxpoyer. ~ROGER p01~~ NAME OF„TAXPAVER CL.ERK CIRCUIT COUR?~ { J.B. .dc ~OPHIS BLOCLt~[ _ RESIDENCE ' i `-tA $ti~ ~s H~C ~1 ~'~N H~TC~> ~.73~IJ~ CLASS OF TAX , UNPAID BALANCE ~ (Ta: R~turn Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT ~ (o) ~b) ic) (d) I i ~ ,~,o ~2-~e io.-3~-6~ 256-zo-9'l59 1~z.~8 : j ~ i ~ ~ ~ ~ ~ s . ; ~ - ~ ~ ~ PLACE OF FILING ~ - Str~ I~O~ C0111~1tJ TOTAL S~~~ `ys Ft~ M~1~O~i ~]s • ~ ~ ~ ~ WITNE55 my hand ot li~st Pal~l DNeh~ l3+07~1d~t ,~on this,. ~ ~ ~ i - the~dey of 1~4?s~ob 19 ~ ' . ; ~ SIGNATURE . TITLE ' ~uP i Tl~o~as C. Osa~q ' (NOTE: G~r~i(icot~ d effie~r authsis~d by Iw? te tolu aeknearl~d9m~n~s is ~et ~as~Miel te tiw validity of Notie~ d F~dael Tox Li~n G,CJiA. ~ " ~ 26119, C.B. 195051, 125.) ~ ~~V~ # ~ PART 1 To b~ r~tain~d b~r ncordirq offiu _ _ _ - - - < ~ -~t~ ~ _ . • : ~~s = ~ ~..~.r ~ . ~