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Fo. Opriona~f use By Recnrd~ny OAice
FOfrt1 u6H OEPAUTNtENT OF THE :REASl1RY-WiE~1Al RfVENUE SEtVICE
• ~~v. ~ao~ NOTILE ~ fEDERAL TAX l~N UND6t tNTERNAI REVENUE UWS FILEO aM~ AECUitOE
sT.~uc~L cJUMTY ftA. L
~j~pR SERIAL NUMBER ROC_~~ t •`~''?AS
Jacksonville c~EFK c:•'CU~j COURT
~F~R4i Vf=.+r
Pursuont to the provisiors of Sections 6321, 6322, ond 6323 of the Internal Reve- Z 14 PH ~7~
nue Code, notice is hereby given that there have been assessed under thc Internol
Revenue luws of tfie United Stotes ogoinst the folbwing-nomed toxpayer, taxes (includ-
ing interest ond penolties) which aRer demand for poyment thereof remain unpaid. and
that by v~rtue of the above~mentioned statutes the omount of soid taxes, together with
- peaalties, interest, and costs that may accrue in addition thereto, is a iien in favor of ~6~1~
the United States upon al) ixoperfy and nghts to properiy belonging to wid taxpayer. ,
NAME OF TAXPAYER
Cyril YJ Dodge 8~Nilliam H Zarn
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RESIUENCE
1710 Boston Ave. Apt A
Ft. Pierce, Fla. 33450
UNPAID BAIANCE
; KIND OF TAX TAX PERfOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
! (a? (b1 k1 ~d) lel
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E
~ .9qp 12-31-?3 07-22-T4 59-1496222 183.30
z
941 03-31-73 06-24-74 59-1496222 4~354.29
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~ PU~E OF FIUNG Clerk~ Circuit Court
St. Lucie County TOTAR s4~537.59
~ Ft. Pierce~ F~a.33450
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w~t~ESS mp ho~d at West Palm Beach, Fla. , on ~ha,
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~ ~ lst af August ~ 1974
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SlGNATURE TfTIE
° Ttwmas C. Graves Group Manager _
"~Y
~ (NOTE: CertiFcale of officer wtFwrized br law ro toke ockrwwledgments es nd essentid to the volidify of Nofice of Fsdrd Tox Lien G.Clrl
~r 26419. C.B. 1950-51, 125.) - .
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P~ t-To bs r.toined br .«ordin~ oAk•
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s-XV ~ . _ _ . ' ~ _ ' _~:a .F ~
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