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Fo.~ bba-F • U. 5. TREASURY DEPARTMENT • INTEItNAI REVENUE sERVICE Fo. ON,ono1 ua~ 8r R~conl.y OH~c.
iR~?• ~2-e~ ttOTICE OF FEDERAL TAX LIEN•UNDER IMTERNAL REVENUE IAMIS
DISTRICT SERiAL NO. ~
JpqCSq+lyIi,I,E FI.i)RIp~ 254125 s-213 P-Z982 ~
Pursuoot to the p~ovisions of Sections 6321, 6322, ond 6323 of the Int~rnol Reve-
nue Cod~, ~otice is Rereby given that there hov~ b~s~ ossess~d under the tnternol FfLEO AND RECOROED f
Rsvenue lows of the United Stotes against th~ following-nomed toYpoyer, toxes ST.IUCtE COUMTr FI.A. '
(including intarest ond penalties) wl~ich a~ter dsmond ior porment thereof ~~moin + i '.~j a
unpaid, ond thdt by virtue oF tha obove-msntioned srotutss the omount of soid toxes, • C;~+1R~ ~
e: , . . .E;; .
toy~ther wifh penoities, interest, ond costs that may accrue in uddition theieto, is ~
o lien in fovw of the United Stafes upo~ oll properfr and rights to property b~long• ~Ai ~~j !Nl
i~g to soid toxpoyer. ~r
NAME OF.TAXPAYER
~alter E startnacy 255352
RESIDENCE .
~1~1~2 ND=''ttl 17~1 StS@@t
Fort PierC@, Florida 3.~150
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UNPAID BALANCE
TAX FORM NUMBER PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o) (b) kI (d) (e)
a
i
1040 Income 1~31-66 06-02-67 431 42 7?10 S 812.64 ~
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PIACE OF FILING
C1eTJC~ C~CClt~t COLtrt TOTAL s ~
S$• T.tIC~@ COtttl~ (
Fort Pferce, Flarida ~
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NOTICE Of fEDERAI TAX LIEN REfILIN6 '
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IRS SERIAL NUMBER RKORDER'S IDENTiFICATION NO. _ _ _ ~
Clerk, Circuit Court ~
NOTICE FILED WITH - DATE - ,
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TAXPAYER'S ADDR SS ` ~
~ ~If different Mon shown above) - - - - - ~
stGNATURE _ TIRE ~?~r~l~'`L/~_TVfSOTs CATS DIN~S~Of1-- ~
~1 13 ~ ~ ~
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WiTNE55 my hand at ~est Palm B@BCh. _F~~~__ on this, ~
the_~~1_ doy of_ ~3y 19 _ ~
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SIGNATURE---~1QIIL~~ C GTBV@5---------- TITLE ~~_St~@TY~SOt- - - _ _ ~
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(NOTE: CerYificote of offiter autho~ized by low to fcke ockno:dedgments is nof essen~ial fo the vo(idity of Notite of Federal Tax Lien ~
G.C.M. 26I 19, C.6. 1950-1, 125. J ~b ;
F
PART 1-To be retained by recording office gQC~( 2~,4 P.4GE~~~
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