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Form•d68 DEPARTMENT OF TI~ TREAStJ~--NTE~IAL RfVENUE SERVICE f« OWaw1 U~e 9y Recordng Ot6ce
{~v. ~.~o~ NOTICE OF fEDERAI TAX UEN UNDER INTERNAL REVEN!{E LAWS FiLE~ AND RECCA~E~
DISTpJCT SERIAI NUMBER ST RO~EI1CPCt~RAS ~
Jacksonville~ Fla. c~fRK C~:+CUtT COURT
RECORD YEF,,FIE~.....~.~-~
Pursuar.t to the provis~ons of Sections 6321, 6322, and 6323 of the Inte?nol Reve-
nue Co~e, notice is hereby given thot there have been assessed under the Internat `2 4G eN ~'1~
Revenue luvrs of the United $totes agoinst the following-named toxpoyPr, taxes (includ-
ing interest ord penaltiesj which after demond for payment thereof remain unpaid. and 2~~0$
thot by virtue of the obove-mentioned stotutes the amQunt of wid loxes, together with
penohies, interest, ond cos!s thot may accrue in addition thereto, is a lien in fovor of ~
the United Stotes upon all property ond righh to propery be~ong~ng to soid taxpa~rer. ~
NAAAE OF TAXPAYER ~
HDTdC@ R. T~IOfIQSOII ~I
RESIDENCE ~
416 Ave. D
Ft. Pierce, Fla. 33450
uNPao sAU+ricE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
ta) f~l k1 Idl (el
~ lpqp 12-31-?0 l~?-O1-73 412-28-9287 $ 7~•~
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PtnCE OF FIIING Clerk r ur
~ St. Lucie County TOTAL = 740.22
Ft. Pierce~ Fla. .
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WITNESS my hond at west Pala Beach~ Fla. , on ~?~s,
the day ot ~e , t 974
_ SIGNATURE (1y 71TLE
/U
G. A. Sharpe Acting Ga~oup ~anager
- {NOTE= C•xtificote of off'icer ovthorized by law ~o toka ocknowledgmenK +s not essen~id to the validity d Notice of Feder~l Tax lien G.CJVI
~6419, C.B. 1950-51, 125.) 9 R~ ,.C ~w !
1 PART 1-To b~ rot~rwd by retordin~ ofHce $OOK f~~~ ~v 4
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