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Fonw bb8 U. S. TREASURY UEPARTIAENT - iNrErtH~~ aEvEnuE SEaviCE Fa Op~onol Use 8r Record~ny 0~ <e
(REv. &671 NOTICE Of FEDERAI TAX LIEN UNDER INTERNAL REYENUE LAWS FILFp QND RECO
DISTRICT SERIAL NO. ST LUCIE C~VNT ~~~D'
daoka~aMill~ ~ Flari.d,a ~ f. C~ i?Q V F F~A.
Rr. IEp
Pu~svant to tht provisio~s of Sections 6321, 6322, and 6323 of the Inte?nal Reve-
nue Code, notice is he~eby g~ven thot thare hove been ossessed unde~ tne lnternal
Revenue laws of the United Stotes ogoinst the following-nomed toxpoyer, toxes aPR y ~
(includi~q i~t~rest and penolties3 which ofts~ demond for poyment thereof ~emoin ~ 21 \
unpoid, ond that by virtue of the obove-mentioned stotutes the omount o~ said toxes,
toyether with panolties, interest, and costs thot may occrue in addition thereto, is R~~~..n ~
a lien in favor of the United Stotes upon oll property ond rights to prope~~y belong- (.~R '~l71rRj~s~~
i~9 to soid taxpoyer. K C,RCV~T CQURr!
NAME OF TAXPAYER
L~i ~g A• ri~ ri at ~~llti0 ~~14~.1' .~T~C~
RESIOENCE
2511 Oiceeehobse Rd., P`t. Pieroe~ Fl,~rida • 33450
CLASS OF TAX UNPAID BALANCE
(Tox Retu~n Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o) ~b) ~c} ~d3 - ~e)
Ii
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941 12-3L.69 3~-20..70 59-o976T83 -1,115,81
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~ PLACE OF FILING ~
~ $tr. Lucie riO1lDt.y TOTAL S lsu5~81
~ F`t• P~el'Ce~ Fli• "
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WITNESS my hond at M~at Pa7.a Beaoh~ ~dt , on this,.
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~ the~t~doy of ~ ,19 TO
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~ SIGNATIiRE TITLE
~ e~Q' { Acting aroup 3npertisor
` (NO : Certiiicore of otfiur ovthori:~d by law to t• ock~o.~.l•dyme~~s is not essenl~ol to the validity of NWic~ of Federol To~e Li~n G.C.M.
419. C.B. 195451, 125.) '
~ soo~~84 ~
~ PART 1-To be refoined by recording office
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