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F~~ ~ U. S. TREASURY DEPARTMENT - INTERNAL REVENUE SERVICf For Op.rwl Us~ ~ R~ce.l.y Qft.e+
tRev. e-s» NOTICE OF fEDERAt TAX l!E!i UNd~R INTERNAL RE~ENUE LAwS
DISTRICT SERUL Nb. FILEO AND RECOROED
J~~~~~ - ST. WCIE C~UNTY. Fl~.
Pu~svant to tM p~ovisions o1 S~c~ions 6321, 63Y~ o~d 6323 01 the In~~.w~l Rew- i'`'~~~' v~ ~`c.=D
t~w Codt, notice is M~tby yiv~n thot fher~ hor~_btsn oss~ss~d under tht (nNrno) ~93111
R~w+~w bws of ~h~ Unit~d Stot~s o4oinst th~• iollowin9-non~ed toxportr, roxes y p ,
(includiny intersst ond p~nolti~s) whicb oh~t ~~qpnd for pormsnt th~r~of r~moin E'~
~i ~ 1"M '
vnpoid, ond thot br virlw ef th~ obov~-iwentioned stotuhs tl~ omount of soid tox~s, ~
toyntlyr with penotti~s, int~r~st, ond costs tlw~ ~r accrw in oddition th~reto, is
e Ii~n in fova of_tM Unittd Sfat~s upw+ ol) prop~rty ond riyhts to prop~rtr b~lony- ZC1;'•~ F~'l?7 i RAS
ioy to soid toxpoy~r. CLGRK C?RCUiT COURT
NAME OF .TAXPAYER ~ '
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RESIDENCE •
P.:O. Hoz 3b59 . '
lro~ Pi~roe, !'1
CLASS OF TAX . ~ UNPA10 BAIANCE
(To~e Return Fwm No.) PERIOD ENDEO ASSESSMENT DATE I~ENTiFY1NG NUMBER OF ASSESSMENT
(a) lb) k) {d) .
I ]~0 12-31~64 5-1~-65 198-00~.33?1 ~381?.83
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PLACE OF FILING a~~, ~
$tr~ TAO~ ~OIID~ TOTAL s •~"'~•83
~02"fr ~
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WlTNESS my hand at ~st' P~t ~ , a+ th+s,. !
the 6~ day of ~ , i9~ .
SIGNATU T~T~ ,
~RTl~ ~
~ ~ : a~r aopaeo~as ~
t E: CKNficst~ d effie~~ a,tFw.i d br I~.r te toke ocknowl~dyw~n~s ia nst ~ss~mi~l to tM rolidilp ef Ndio~ d Fed~r~l Tuc (.ite? C.CJiA.
19, C.B. 19SPS1, 115.) " '
~ a~184 ~13~'~
PART 1 To b~ nroinad b~? ncordiry offic~
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