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Form 66S OEOARTtitENT OF THE TREASURY-RJTERNAL RfYENt1E SEIMCE For Opfionol Use Br Recwdng Office
~r~v ~-ro~ NOTKE Of FEDERAI TAX UEN UNDER INTERNAt REVENUE LAWS f ~Ep Ay~ RECORDED
DISTRIC ~ S~. LUCIE COUNTY ftA.
SERIAL NUMBER qp~~ ~ , (11TRAS
,J~ CLEP.K C~icCi~tT COURT
- Fr,ORO vF-:~iE4
Pursuont to the provisions of Sect~ons 6321, 6322, and 6323 of the Internal Rev~
nue Code, noh:e is hareby given tfiot there have been ossessed under the Internal t~ ~ 34 PM
Revenue laws of the United States agoinst the following-named taxpayer, tmces (includ-
ing interest ond penalties) which after demond for payment thereof remoin unpoid. and,
thot by vi.tue of the obove-mentioned statutes the amount of'soid taxes, together with
penalties, interest, and costs that may occrue i~ odditian thereto, is a lien in favor of
ihe United States upon all property :~nd rights to property belonging to said tazpayer. ~31'73
NAME OF TAXPAYER
,
RESIDENCE .
~ 1710 l~orth 22nd Street
's FT Yie c FL 33450
j UNPAID BAIANCE
~ KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~ ~a) ib) (d) (e) , ,
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? 943 1'L -31-72 07 -16 -73 59 -119Z203 1, 688.54
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PUCE Of HIING
- Clerk, Clrcuit CouK TOT~u =
St LuCie County 1, 688 . 54
Fort P~erce. Flarida
WITNESS mr hond at t.iacai, ~ lorid^
~ the 16th dar of January , 19
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= SIGNATURE TITLE
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(NOTE: Catificote of ofPicer authonz by law to toke ocknowledgments is not essentid ro tM voliddy oF Notice of Federal Tar lien G.C.M
: 26119, C.B. 1950-51, 1Z5.)
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