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Fo~m ~8 U. S. TREASURY DEPARTMENT • ~NtEar+~~ aEVENUE seaviCe Fa ow,~; u.~ a, aKad,~ o~
fREV.8-671 NOTICE OF FEDERAL TAX IIEN UNDER INTERNAI REYENUE LAWS ~~~ED AND RECORDEO~
DISTRICT SERIAL NO. ST. LUCIE COUyTY. FLa,
JACKS0:~1/ZLL:; ~ ~
Pursuant to the provisions oF Sections 6321, 6322, ond 6323 of the Internol Reve- ~
nue Code, notice iz hereby given thot there hove been ossessed u~der the Internol
Rsvenw lows of the United Stotes ogoinst the following-nomed toxpayer, toxes ~ Q Q~lR 2(~ ~ I I• 27
(includin9 interest and penolties) which ofter demond fw poyment thereof remain
unpoid, ond tF~ot by virtue of the obove-mentioned stotutes the omount of soid toxes,
toyeth~r wilh penalties, inte~est, ond costs thor moy occrue in addition thereto, is ~
o lien in iavor of the Unired States upon oll property and rights ~o property belong- ~nt'=-~ TRi,
~~9 to :a~d tax~ye.. C! ERK CEr7CtJIT COURT
NAME OF TAXPAYER
C' - ` ~ -V~, JZ
RESioEr,cE
1114 17th 3rtZr."dT
;
CLA55 O` TAX UNPAID BALANCE
lTox Return ~orm No_) PERIOD ENDE~ ASSESSMENT DATE IDEN :FY v;, NUMBER OF ASSESSMENT
(a) (b) (c) ~o i (e) ~
; ~r.-~ ~+3 ~-31-6~ _1_-a2=?o - ---_59~33~+~?500~--~--- - ---1.Q2o 4~----
9~3 ~-31-69 2-20-70 59~+3o3i5aoo7 7S2.io
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~ PLACE OF FILING
s
~ CL~gri, Ci~t~lJl'P CoU.~t`i' TOTAL s 1.772•53
~ ST. LLTCIL COUI~TY, FT. PI::RC~~ FLOZIDA
ry
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~ `~NITNESS my hand ot ~`j,Q~=j~? , on this,_
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~ the 21st day of ,19 7~•
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ri
~ SIGNATURE TITIE
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~ cxzaF or~c~ cxouP
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(NOTE: Cerrificate o~ officer outhor~ y ow to ~oke acknowl~dyments is not essenti~l to the vol~d~rr oF Nwic~ oF Federol To: Li~n G.CJiA.
~ 26~19, c.a. i9so-si, ~zs.t 600K~8~ PAGE ~ V~
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PART 1-To be retained by recording office
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