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Fotn~ 668 OE?ARtMEM OF T?E 1RfASUtiI-wTER~I~u lEVENUE SER~KE fw OP?cral Uf~ Ay Recording
~REV t-70) NOTKE OF fEDERAt TAX U8i I~ID~ MiTHNAI REYENUE IAWS f EO ~N9 RfC~
DISTRICT SERlAL NUMBER 1E COIW r ~y
JACRSONVILIIa, FIARIDA iO~~R ~ott~
L GtERIC C1RCli1T C~~
Pursuont ro the provisions of Sections 6321, 6322, ond 6323 of the Internal Reve- RE~~
nue Code. notice is herebr given thot there hove been osseued under the Internol ~T
Revenue lows of the United $totes against the foltowieg-nomed tazparer, toxes (includ- 1~
ing interest and pcnalfies) which ofter demond for poyment thereof remain u~paid. and
thot by virive of the abo~e~menfioned stotutes the omount of sa~d tazes, together with
penahies, interest, ond costs that may occrue in oddtion thereto, is a lien in fovor of A
the Unitecl Stotes upon all property o~d rights to property belo~?ging to said taxpayer. ~ir05120
NAME OF TAXPAYER
Charlas A. b Jacol L. t~cCorts
RESIDENCE
SZ1 South Sixtb Strsst
Port Pitrca, F~rida 33450
UNPAlD BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
lal tb) kl Idl le)
; 1040 Inccros 12-31-69 6-S-70 S31 10 1787 $ 888.91
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~ This iost t is to sodif~ t l~lotic.~ ot Pid4ral
~ ?az Lisa nco on Jastiaary 2..1971 in O~ficial
~ ~cord Book 1 t Paga 2SSZ ia OEfic~ of ths
~ Clszk of th~ iswtit Court for t. Lncia County,
f Florida ia v6 eh tbsr~ vas an alsnc~ in tha •
~ Unpaid Bals of Asaasssent c lvaa. ?he correct
total dua is s s1wMn on tbis an.
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PIACE OF HLING
C1lZ1C~ Circuit Court TOTAL s 88$•91
8t. Lueie Couaty
~r Port Pisru, Florida
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W1TNE55 my hond ot i/sst Pala Bs~~h. Flosida , on th~s,
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~ 23rd ~r of Fabraarp 19 ~1 -
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~ (NOTE: Grtd'~cate of olFica outhaasd br law b toke ocknowledqmenri n nW esstntwl ro the vol~dAp of Nonce of fsd~rd Tax lrn G.C.M.
z~.~9. ~ a. ,9~-S,. ~~5., R~~ 133D
~ PART 1-To b~ rNain~d by r~co~np oAic~
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