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e~ ~g oe?exrr~Nr oF n+e n~wsu~r-wrES~uu e~uE s~eNCe rn. qvr;ww~ vs. sr Reoo?d~ny ol~ce .
{REV. ia~>> - NOTKE Of EEDERAL TAX L~N IM1D~ WTHtNAt ~VENUE UMfi F~~a a++i~
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JACKSONVILLE tLf~K ;,~~:cv?~ conR1
REt~R*~ V~~ ~!fU
Punuont ro the ovisions of Sections 6321, 6322, aod 6323 of the Inte~nol Reve-
~ nue Code, oofice ir herebr given that there Iwve been assessed under the Intemor 00
Revenue laws of the United Stotes agairut the foflowing-named taxpayer, toxes (includ- ,
ing interest and penaltia) which aRer demand for payment thereof remoin unpaid. and
thaf by virtue of the a6ove-mentioned statutes the amount of said toxes, together with A^ A
penalties, interest, ond costs that may accrue in additioa thereto, is o lien in fovor of ~G~~~
the United Stabs upon all properiy and rights to propery belonging to soid Mxpayer.
NAME OF TAXPAYER ~ ~
Ahdrea Green -
RESDENCE
I109 No 21st
_ Ft. Pierce~ F!. 33450
UNPAID BALANCE
KIND OF TAX TAX PERIOD.ENDED DATE OF ASSESSMENT IDENTIfYING NUMBER OF ASSESSMENT
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j 10qQ.. 12-31-72 04-23-73 266-07-02T! 241.73
~ 1040 12~31-73 04-22-74 266-0?-02'!? :484.81
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PLACE OF FIUNG R R U U
~ ST. WCiE OOUNTY -
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FORT PiERCE, FLORIDA TOTAL ~ 726.54
WITNESS my hand at We8t Palm Heach~ ~'7. , on this, '
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~ 26th ~y of Abvember ~ 9 74
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SIGNATNtE T1TLE '
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G. A. Sha e Acting C~oup Manager ~
~NOTE: Catificate Qf offica authorized bY law ro toke ackr+owledgmenls is not asentid ro ths validity of Notice of Fedarol Tax tien G.C.M. ;
26419, ~.8. 1950-51, 125.) ~
PART 1-To be retained by recording oHke 800K~~ f'146E
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