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~.F U. S_ TREASURY DEPARTMENT - INTERNAI REVENUE SERVKE Fr QM~erl (!s~ Br R~col.e~ ON~c~
u~1.ti2-a~ ' NOTICE OF fEpERAI TAx LIEM UNpER INTERMAL REIIENU~ tAwS F!
~EO ANO RECOR
DISTRICT SERIAL NO. ai.l1?CiE COWITY
dackaonyilla, Florida . 126904 B-92 P-263 ItO~ER POITIUi ~ ~
c~ERK c~acu~T co~
Pu~suont to tl?~ provisions oi Sections 6321, 6322, ond 6323 04 ths Int~rnol R~w- RECOao veRifiEe ~
nu~ Cod~, notics is h~r~by 9iven thot ther~ hov~ bKn oss~ss~d under th• Int~rnol ~N~
R~v~nw lows of th~ Unit~d Stotes ayoinst th~ followioy-nom~d toxpoy~r, tox~s ~ t3 a{~1 {
(includio~ int~r~st ond penolti~s) which ah~r d~nand fo? porment th~reof ~emoin
unpaid, ond that by virtue of th• obov~-m~ntior+ed stetu»s th~ amount oi soid tox~s,
to~th~r with p~nolfi~s, int~r~st~ ond costs thot moy etcrw in oddition tMr~to, is
o li~n in fovor of tM United Stotes upon oll prop~Hy ond rights to property b~long-
iny to said toxpoy~r. - ~~d
a
NAME OF TAXPAYER_
(~arle4, Sr., and Nora Reaves
RESIDENCE
1706 Avenue "D"
Fort ierce Florida ~
UNPAID BALANCE
T/1X fORM NUMBER PERIOD ENDED ASSESSMENT ~ATE IDENTIFYING NUMBER OF ASSESSMENT ;
(o) (b) (c) ~ (d) Ie) i
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i
' I040 12/31/63 4/8/64 204 10 2993 1,047.14 ~
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PLACE OF FIIING
CZ@Yk~ C~rCi11t COtitt TOTAL s 1?~~?~.1~1
_ sc. r.~~ie co~cy ~
Ft. Pieres, Florida
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NOTICE OF FEDERAL TAX LIEN REf ILIli6 ~
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~ IRS SERIAL MJMdER RKORDER'S IOENTIFIC/1T10N NO. ~
~ Clerk, Circuit Court ~
~ NOTtCE FItED wITH St. Lucie County, Ft. Pierce, Fla. DATE - - ,
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~ TAXPAYER'S ADDRE
(If di ent than shown obove)
SIGNATURE ~
n _ mte ' ief Speciel E~ur~~e Stsff---
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WtTNESS rnr hand at ~1est Palw B~sch, Florida _ _
- , on this,
~ rhe 19th d~ ~ Juae 19 64 _
, ~
/s/ 1tto~se C. Gravas TinE _ Group Supervisor
SIGNATURE - - - - - . -
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fNOTE: Grtif'icok o1 olfic~? awhori:ed by bw ro rok• ocknawbdQ~aee~s is not ~ssentiol b th~ rolidih? of Notice of Fad~rol Tox lien
G'C.M. 26419. C.l. 1930-1. 125.) ~4~~~A pb
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PART 1 Te b~ ntoin~d br ntordi~~ offit~
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