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FOrm bb8 OEPARTMEN~ OF TF+E iREASURY-PtiFRNAI REVENUE SEINKE Fo? OWaraf Use By Recadng OfFce
(R~v. ~a>> i NOTICE OF fEDERAI TAX LIEN UNDBt INTERNAI REYENUE LAWS F~~EO aHt~
DISTRICT SERIAL NUMBER - St.ll~C1E^GOUNTY f~ •
ROCE„ POITRAS ~
St Zouis riiss~uri ~~ERg ~?:~GU~T COURT j~~
RECOK~ VEP 1E0~
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the interna! Reve- ~t'C 'O 41 AN
nue Code, ~otice is hereby given that there have been assessed under the Inte~na! 0
Revenue lows of the United States against the follawing-named taxpayer, twces (includ-
ing interest and penalties) wfiich oher demand for payment thereof remoin unpaid. and
that by virtue of the abov~mentioned statutes the amount of said taxes, together with ~y
pena~ties, interest, and costs thaf may occrue in addition thereto, is a lien in favor of `~ss~9 !
the llnited Sta~es upon all property and righh to propery belonging to soid taxpayer.
NAME OF TAXPAYER
Jesse ~hirle Gilbert
RESIDENCE
10353 ::ori~e il Ln
L'reve ~oeur .~0 63141
UNPAID BALANCE
' KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
; (al (~1 kl ld) (~l
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t
= 1040 12-31-72 J5-21.•73 493--49--1262 30 ~ 559.45
{ 1~~.0 12-31-63 OS-24-68 4 35-09-1262 2~t343.45
~ 1040 12-31-•b~ 02-2I-69 49&-~9-1262 I~347.34
` 1040 12-31-63 02-07-•69 498-09--1262 113.47
1t~40 12-31••62 05••24..68 498-Q9-1262 3*773.39
1040 12-31-62 02-21-69 498..Q9••1262 5~556.88
101~0 12-31-62 02-07-.69 498--09-1262 467.97
1040 12-•31-61 04..J5_68 49t3-09-1262 449.35
~ 1040 12-31-60 04-OS-68 498-09-1262 2~518.11
27~9/~41 6906-6912 c)3-19••71 49£~-•09-1262 1i239,55
L 7006
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~ PLACE OF FIUNG
~ Cler~c, Circui~ Court
~t. Lucie County TOTAL ; 4£3~873.99
~
:'ort ~ierce, Florida
~
.
, on this,
~,Y WiTNESS my hand at St. :.oLis~ :`issouri ~
~
~ the St1t day oi ~?ctoUer ,~9 73
d00+c ?~It;f ~ .
-
~~'w; SIGNATURE TITLE
~r ~ ~
everu ~l i er ~
_i~_____~_~S -
~ jfdOT ert~f~cote of officer ovth e b law to ta4e atkncw!edg-nenh +s r,oi essential to the vo~:d~ty cf t~otice of Federol Tox Len G.C.M.
2641 , C.B. 1950-51, 125.)
PART 1 To be retained by recording office
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