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pEP~Ri~nEMi OF THE TRf~1S:Jqtt-whRNAI ~F~ENUE SfR~'iCE fa Op~;onol Use By Rec«dng O'i'ce ~
(REV. ~0681? NOTICE Of FEDERAt TAX LIEN UNDER INTERNAL REVENUE UWS f«EO ~'+u K
DISTRICT ST• IUCt~_ CUUNP~S LA
SERIAI NUMBER ito _ ~ , _
JACKSONVILLE c~E~~• couRt
- aFfec ~ ~ f Er~
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Internol Reve- g 41 AM
nue Code, notice is hereby give~ that there have been assessed under the Internol I.u r Z
Revenue laws of the United States against the following-named taxpoyer, taxes (includ- wR'
ing interest and penalfies) which after demond for payment thereof remain unpaid. and ~
that by virtve of the abov~mentioned statutes the amount of wid toxes, together with
penalties, interest, and costs that may accrue in oddition thereto, :s o lien in favor of ~Q~.c~p
the Unifed $tates upon all property and ~ights to property belonging to s~id taxpayer. ~7R V 0
NAME OF TAXPAYER
Fort Pierce Cocu.tuiications Inc. ~
RESIDENCE ~4 p}~eechobee Rd.
Fort Fierce, Fl. ?3~+5~
UNPAID BALA~ICE ~
KIND OF TAX TAX PER10D ENDED ~ATE OF ASSESSMENT IDENTI'rYING NUMBER OF ASSESSMENT
la1 ~61 td~ 'e~
941 }.~~_~4 6..~J.,..ry4 59~-~'~0o6z5 3~40?.
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~LACE OF FlLINv CLERK, CIRCUi~ COURT
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i. ~v~ii ^.OUIL'TY TOTAL s ~4
~ FORT PIERCE, FLORIDA ~
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WITNE55 my hond at Ft. P_eTCe, F1cT1da , on this,
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the 12t~ ~y of J~tt~.3'' , 19 7~*
SIGNATURE . T1TLE
Revenue Officer
f~ 4r.f~ T.P. 6lel~oss
(NOTE: Cert~f:c e of officer authorized by la.•. to toke ocknow~edgments ~s not essentiol to the rolidiry of Notice of Federol Tax Lien G.C.M. _
26419, C.B. 1950-Si, 125.) ~
PART 1-To be retoined by recording office B~X~ i~~
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