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fOf[n fib8 O=fARiA!FNT Of THE TREJ1Sl~'/-~iTEB'lAl tEVENl1F SEQYICE For Op~iollo~ Us? By RK+O/drng ~itt
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i _ ~T. ~UCIE COUNTY
^ISTRICT SERIAL NUMBER Cl RK6C~:2CUIT C U~T ~
RECORO VE~rf~EO..~,~`
Pursuont to the prov~s+ons of $ections 6321, 6322, ond 6323 of the internal Reve- Q ,u •
nue Code, ~.ctice ~s hereby given thoE there have beeo ossessed under the lnte~nal ~'3 V S9 Ai7 •~Z
Revenue i~v.s of ~he United States ~~a~nst the folloMring-named toxpoyer, toxes (includ-
ing ~nterest ond pena{hes) which o~t~ demand for po~?ment thereoF .emain unpaid. and
thot by virlve of the abov~mentioned stotutes the amount ~f soid laxes, togetner with
penoities, interest, ond cesh that may accrue in addition therefo, is a lien in favor of
tfie United $tates upon all prc~erty and righh to property belonging fio said taxpayer.
NAME OF TAXPAYER
Thomaa A. Forbes
Forbas Spic N Span Laundry
RESIDENCE
602 South Fourth Street
Fort Pierce, Florida 33450
- - UNPAID BALANCE
~ KIND OF TAX TAX PERIOD ENUED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSM:NT
~ ~a) ro~ (d~ ~e)
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; 941 i~Iithholding 09-30-71 12-17-71 59-1107293 $ 1,407•28
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; Clerk, Circuit Court TOTAI = 1,407.28 ~
^ St. Iuc1e County
_ Fort Piarc~, Florida
- wt7rtESS my h«?d ot Yest Palm Beach,_Z'lorida ~,a,
_ llth ~y o n~t~t 1972 ~;i~
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rt~ ~t3NATURE T1TlE
; scrutc cxattp Supssvls
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?E: Certificote of ofF'ica outhori=ed br !ow to fdce ockrwwled~ma?h is nof werdid b ft+~ volidty of Notiu of Fidsrd Ta~c Cien G.CIN.
26119, C.B. 1950-51, 125.)
~ PART 1-To b~ rNain~d b~r nco~~p oAk~
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