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Form 66S U. S. TREASURY OEPARTMENT - INTERNAI REVENUE SERVItE Fw Opr,onel Use B~ Rrca.d.ry Ce -e
(REY. &671 NO?ICE OF FEDERAt TAX LIEN UNDER INTERNAI REYENUE LAwS
DISTRICT SERIAI NO. FI EO AP1D RECORDED
Jackeamills gyprid~ ":T, l'JCIE COU_NTY, FL~.
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Pursuont to the provisions of Sections 6321, 6322, ond 6323 0( the Internol Reve- ~9~;44
nue Code, notice is hereby given thot there Fwve bten ossessed under the Internol
Revenue lows of the U~ited Stotes o9oinst the-following-nomed toxpoyer, toxes
(i~cluding interest a~d penalties) which ofter denwnd for poyment thereoF remo~ f• 24 FY9 j i, 27
unpoid, ond thot by virtue of the obove :~nentioned stotutes the omount o( said toxes,
togeth~r with penulties, interest, and costs thot moy occrue in oddition thereto, is ~rC~~~
o lien in iavor of the United States upon oll property ond rights to property belong•
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~"9 t' :'~d t"`p°''e.. ~K CIRCUIT COURT
NAME OF TAXPAYER
FRANK QOOD~ t~la~aster Sfgn
RESIDENCE .
- P.O. Booc 582~ l~ort Pierce~ F1o~rida~•33450
CLASS OF TAX UNPAID BAIANCE
; (Tox Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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~ 9lal 9~-30-69 • 12-.12-69 59~uo5298 600.59
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' 941 32-33.~69 3-~-70 - 59-1L05298 1,2o4.2T
~ PLACE OF FILlNG C~~' C~~lit COUt''~r
" Sti~ L11C~ COUlltiy TOTAL S], 8
y Ft. Pisrce~ Flor~da ~ Oil~sBb
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~ WITNESS my hand at ~isst Pala Eaaeli~ Fl~idt , on this,.
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~ the~~doy of ~p~l ~ 19 ~A -
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v~ SIGNATURE TITLE
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< Actfng aroup 9npsr~isor
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~ ( E: Ce.~ifica?e of o(fic~r outhpia~d by low o tok~ otkeowledyments ~s not ~ssmr~al eo i?+e volid~ty oF Notic~ oF Federol Tox Li~n G.CJ+1.
6119. C.B. 195451. 125.)
600l~~S~ PACE~_V~
PART 1-To be retained by recording office
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