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Fonn 66S U. 5. TREASURY DEPARTAIENT - u+tERN~L REVENUE SEeviCE Fo. Oonmol Use 8~ Record.nq OI: -e
fREV. &67) 1lOTICE OF FEDFRAL TAX IIEN UIiDER INTERNAI REVENUE LAwS
DISTRICT sEaiA~ No. lLED AND RECORDED
J cksonPille Florids S. LUCIE COUNTY. FLA.
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Pursuont to the provisions of Sections 6321, 6322, o~d 6323 of the ~~~e~~a~ Re~~_ - 192~43
nue Code, notice is hereby given thot thare hove been ossessed under the Interna!
Revenve lows of the United Stotes oqainst the following-nomed toxpoyer, toxe t70 APR 2y I'
(includinq interest ond penolties) which after dsmond fw poyment thereof recnoin •
uopaid, ond thot by v~rtue oi the obove-mentioned stututes the amount oi said taxes, ~
togeth~r with penolties, interest, ond costs thot moy accrue in oddition thereto, is
o lien in fovw of the United States upon all property o~d rights to property belong- ;;OG`.~ :'~;jRi~$
'"9'° s°'a'°"p°'".. LERK CiRCUtT COURT
NAME OF TAXPAYER
JOHN N. STA1rIIi, JR. ~ John~y~ s~nto Rspair
RESIDENCE
3905 Mst$gar Rd.~ P.O. Hoac 53,l~s Fort Pierc~~ F3a.•33lu'~0
CLA55 OF TAX UNPAID BALANCE
(Tax Return Form No.1 PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(02 (b) (c ) ld ) (e}
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; 941 ~-3o-b9 4-3~?0 _ 59=i22o933 - - 638.31
~ 9~1 12.31~•69 4•3~70 59-1220933 911.29 .
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~ PLACE OF FILING C~.SI'I[~ C~I~Cll~ti C011I''tr
3 $t• Lucie ~'iOUII~ TOTAL S a.j54~~~
Ft• Pi~rce~ Fla. -
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~ H1{TNESS my hond at ~a* pa~ F~~~
, on this,.
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~ the~_doy of ~ ,19,~0
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~ SIGNATURE TITLE
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~ Jan~es 0. S ~ ~ Actingda"oup 3upes~isor
(N : Cert~ficme oF o(fic~r ovthori:~d by law ro~oke ocknowledyments is not ~s~entiol to the .ot~dcrr of Na~ce o( F•derol Tox L~~~ G.C.M.
~ 6119. C.B. 195o-51, 125.)
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~ PART 1-To be ~etained by recording office d~~ ~
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