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Fam 668 DfPARTMENT OF THE 1REASllRY-MTERNAI REVENUE SEINKE Fo. Optanol Use By Reco.d~ng Ot6ce ~
(R~v. i a>>> NOTICE OF ~EDERAI TAX IIEN UNDER INTERNA! REVENUE UWS F~~EO ~HO k~
DISTRICT • SERIAL NUMBER sT ~OUMTY f~~
JACKSONVILLE CLERK
CtP.Cpjr
~OURT ~
RECORD VER~F;ED""~-~~
Punuont to the provisions of Sections 6321, 6322, ond 6323 of the Internal Reve- =
nue ~ode, notice is hereby given that there have been ossessed under the Internal fEe 3 ~ ~ ~
Revenue lows of the United Stotes agoinst the folbwing-named taxpayer, taxes (includ- r5
ing interest ond penalties) which aher demand for payment thereof remain unpaid. and
that by virtue of the above-mentioned stotutes the amount of said taxes, together with
penalties, interest, und costs that may accrue in oddition thereto, is o lien in favor of
the United States upon all property and rights to property betonging to wid toxpayer.
NAME OF TAXPAYER -
Blaine Lawson
Lawson Homes
RESIDENCE
324 Floresta Drive ~
Port St. Lucie~ FI. 33452 `
UNPAID BALANCE
~ KIND OF TAX TAX PfRIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
(o) (b) (c) (d) (e)
; 941 06-30-72 08-20-73 25-1215247 9,717.56
; 941 09-30-~2 08-09-73 25-1215247 9~602.38 ~
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~ 941 12 -31-72 08-09-73 25-1215247 6~511.89
~ 941 03-31-?3 08-p9-73 25-1215247 9,277.12
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~ 941 06-30-73 10-01-?3 25-1215247 12~893.62
~ 941 09-30-73 10-30-73 25-1215247 8,928.57
~ 940 12-30-73 04-01-74 25-1215247 561.68
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PLACE OF FIIING ~
ST. LUCIE COUNTY TOTAL S57,492.82
~ FORT PIERCE~ F10RIDA ;
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~ wITNESS my hand at ~Yest Palm Beach, , on rh~s, ;
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~ rhe ~th day of January , ~ 9 75 ~
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SIGNATUR~ ~ _ TITLE ~
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~ G. A. Sha e L~~~_ Acting Group GSanager E
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(NOTE: Certificate of of~icer authorized by Irnw to take acknowledgmenh is not essential fo the vaiidity of Nofice of Federol Tax Lien G.C.M. k
~ 26419, C.B. 1950-Si; 125.) ~ R ~
~ PART 1-To be retained by recording office
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