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- , forr 66l-F U- 5. TRE115llitY OEP/1RTMENT - iNTEReu~ aEVEnu~ sEStvtCE Fw Qpr~onel Use Br R«ord.ey ON.ce ~Rev. i:-en NOTICE OF FEpERAI TAX LIEN UNDER INTERNAI REYENUE IAwS F~~EO At+a . DISTRICT SERIAI NO. ST.LUCIE COL'MTY FIA. RJCEH POstRAS ,TAQCSONVILLE ~I.~tI~A 197770 B186 P2005 CLERK CIKCUIT COURT Pwsuant to the p~orisions o( Sections 63~1, 6322, ond 6323 of the Intsrool Revo- Ri.C~Rn VERIF:C'J.~~~ nue Code. notice is hereby given that there hove been ossessed under the Interno) c 1 ~evenve lows of the United Stotss ogoinst the following-~+omed toapoyer, toxes 1 E8 ~ i9 (including intt~es~ ond penolfiss) which ofter demond for poyment thereof ramoi~ ~/~Q11L~~i unpoid, ond thot br virtue of the obovs-mentioned stotutes th~ omount of soid toxes, ~rYL7il0 ~ together Mrifh penolti~s, int~rest, ond costs tlwt may occrue ie oddition thereto, is ~ o(isn in favor of ths United Stotes upo~+ oll property and rights ~o property belong- ing to saiA toxpayer. ~:AME OF TAXPAYER George C ?hornhill REStJENCE Post Office Box 3441 Fert Pierce Flarida 33450 UNPAID BAL/INCE ! 7AX FORM NUMBER PERIOD ENDED ASSESSMENT ~ATE IDENTIFYING kU~ABER OF ASSESSMENT (01 (b) (c ) (d ) (e T ~ - ~ ~ ~ 10~+0 Incoa~ 12~31-66 8-4-6? 262 36 57~i4 $ 1,406.59 ~ - i ~ ~ ?LACE OF FILING Clerk, Circuit Court _ saT~~ s~,4pG.59 St. Lu~ie County rort Pierce~ Florida ~ NOTICE Of FEDERAL TAX LIEN REfIIIN& IRS SERIAI NUMBER _ _ ~~'UJ _ _ - RKORDER'S IDfNTIFICATION tJO. _ Clerk, Circuit Court NOTICE FILED WITH 3~~3~_C~~n~y~ F~.~c~__pie~ce,_ Florida _ ~ATE ' TAXPAYER'S ADD ss 510-A _I~bll Avenue~_ F~rt_ Pierce~ _ Florida 33450 _ ~ • ~ (li different than shown obove) _ ss , sicN~TU - ~ - - - TmE _ CaovF_ Supervisor,--CATS . Division _ ~ ~ A ~ wiTNESS my ha~d ot _ _ - West_ Palm_ Beach, rlarida_ _ _ _ _ _ _ _ _ _ , o~ rt~~:, ~ - ~ ~6~__day of - __~11St 19 70 tne . StGNATURE _ _I~lODld$ Cs ~~VES _ _ _ _ TITlE ~Ot1~ Sl~elV~SOr ~ ~ r.OTE: Cerfificole o( officer avthorized by law to toke ackeowledgmenfs is nof essenliol to the validity of Notice of fedewl Tox lien ~ : CM. 264l9, C.B. 1950-1, 125.j sb ~ ~ Z2~ ~ ~R 409 PART 1-To be retained by recurding offise ~ ~ . _ - - -k,~ ~s - - _ 'r '-:~-5- ~'A . C _ ~ ~ J_ . S ~ W.._r