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FOrrt~ ~6B 'JfPAPMENT OF T1# T~EI~SUItY-tJTERNAI lEVENt1E SfCY~CE for Oplra~ol Use By Record~ng ON~~ct
;REV ;-101 , NOTI~ OF fEDERAt TAX L~i UNDdt INTERhAI REVElNlE LAWS fIIED akfl RECO~DEO
ST. LUCiE CCtfMT~ fl~. ~
DISTi~lCT SERIAL NUMBER RQGE~ °JITR~S
J8CkSOnvill@ CLEP.K C .C31T COURT~'
CORC vE~ r~f0~•~
P~•:suant to tne provisions of $ections 63:1, 6322, and 63:'3 of the Inte~no~ Reve- `Y ?
nue Code, ~o!~ce is hereby given thot there have been ouessed under !he Interno{ 11 $ 13 MIl ~ 1 Z
Rev~~ue lows of the United States against tfie folbwing-n~med iaxpayer, toxes (includ-
inG ~~te:esT a~~ penolt+2sj which oher demond for payment tt~ereof remflin unpaid. ond
fha~ by virtue of thr above-ment~oned statvtes the amount of said ?axes, together with 'ry ~
pen~Et;es, ;nterest, and coih tha! may occrve in addition thereto, is a I~en ~n favor of ~~~'~•_i
th~ 'Jnited States u~on a!I property and n~fits to property belonging to soid taxp7yer.
NAME ~F TAXPAYER
; Ronald D. and Sandra N. Robinson
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; RESIDEN~E P. e. Bao~ 14~4 ~
~ Fort P~erce, Fla. 33'~+5~ -
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a UNPAID BALANCE
~ KIND OF TAX TAX PERfOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSE~SMENT
~ (a1 (e1 k) (dl le1
~ 1~4~ 12-~1_66 ~0~71 263-5~2457 $ 273. 06
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~ 1040 12_'i1-74 7-3~-71 " 2.446.29
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PI.ACE Of FIUNG
Clerk, Ci~ult CoWt TpTqL = 2,~19.35
St Luc~e County
Fort Plerce. Florids
-,t
- WITNESS mr hond ot I'~1o1'ids , on this,
7th January 72 f~f ~i~
the dor of , 19
SIGNATURE n~
~ - Chief , Offica Branch
(NOTE: Certif+cate of officu wthwa y to toke ocknowledgmenls a not esseatid to the volidAy of Ndice of federal Taic l~en G.CJtiA.
~ 264'.9, C.B. i950-S1, 125.~
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- PART 1-~ ~ ..~~.a br ~o.
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