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Fo~m 6GS - DE?ARTMfNi pF F?k 1SFASU~N-~WTFWAi RfYENUE SftV1~E FW ~pt~Ww71 U7~ y~KW.f~g ORK!
;RF~- ~-~fll NOTlCE OF FEDERAI TAX UEN UNDER iNTERNAI REYENUE LAWS f LEp AND RECqRDEo
C.~?RlCT SERIAI NUMBER WC1E COIINTY flA.
ROCER POITItAi ~
_ Jacksoaville CLEaK CtRCWT COURT
Pursvant to the praviseons of Sections 6321, 632?, and 6323 oF tF?e tnrernal Reve~ aEtOR~ V~FiIfIEO~
nue Code, no!~ce ~s hereby g~ven lhot tt;cre hove been oss~sse.• ~ under the Int.rnol A.,,~ ~ ~ 23 ~
Rever.ue iaws of ~he ~n~ted States ayainst the following•~omed taxpoyer, toxes (~nclud- NWI
~ny interest a~d penalt~esj wh~ch oher demond (or porment fhereof remo~n unpoid, and
tha? ~y v~rtue of the abevemrn?~oned stotutes the omount of so~d toxes, together with ~
penott~es, ~~terest, ond cosh fhot moy occrve i~ oddihon thereto, is a I~en ~n fovor of
the United Stotes upon oll property ond nghts to ~xoperly belc,r~g~ng to w~~ ioxpc~per_ ~y~~c~
IGi.L V V
NAME OF TAXPAYER
Clarence L. Fowler
RESIDENCE .
331 Smallwood Aveiua
F'ort Pierce Rl. 33450
UNPAID BAUNCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE tDEMIFYING NUMBER OF ASSESSMENT
- 1°) (bl kl td) l~l
1Q40 12-31-66 06-16-67 266-10-7616 ~ 565.Tfi
1040 12-31-67 07-19-68 266-10-T616 379.21
.
~
PUCE Of FIUNG
Clerk, Circuit Court
~t. i.:~efe County TOjAI S 943.98
Rort Pferce~ Fi. t
v1/iTNESS my hond at _ ~i8~1f ~ Fl . , on this,
,h~ 28th ~r of July , ~y T 1
SIGNATURE T1Ttf
Chiei, Oifice Branc6
~NOTE: Cend,cde of ofl'icer ovthwa «knowfedgm~nh ~s na e~ennd a rh. ~o1,d~ry oi Na~ce of F.derd To, l~n? G_t.NL
Z6119, C.8 1950-51, 125.)
PARt 1-To b~ .NaiMd br nconGn~ o~l~c. ~o0~f ~a7'~