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f orm bba DEVAAIMENI OF TME 1REASURY-IMERNAL REyQ~UE SERVKE fw Optional Us~ By Retviding O//ict
tREV- z_~~1 NOTICE OF FEDERIIL TAX LIEN UNDER INTERNAL REYENUE LAYVS
D~STRICT SERIAI NUMBER a~Q4~O
~til::.~l:.: J'1Lt.li.
Pursuont totheprovisionsof5eclions6321,6322,ond 6323 of the Internal Revenue
Code, notice is hereby given thot there have been assessed under the internoi Reve- f~p ANO RECORDE~ -
~~e tows of the United Sta~es agoinst the iollowing-named faxpayer, taxes (including S~. LUCIE COUNTY FLA.
~~re.est ond penolties) which ofte~ demand for payment thereof remain unpaid, and p~~~ ~';A~ i
~~at by virl~e oftheabove-mentionedstatvfeslheamount of sald taxes, together with G:E':i. i;OttRT
ce~olt~es, ~nterest, ond costs thot moyate~ueinoddition fhereto, ls a Iten In favor of p~r~ `~f
the United Staiesuponollpropertyandrightsto property belonging to sold taxpoyer. 10
NAME OF TAXPAYER
. ~~~•a.. . .'r~_:Zi'~. ~1.\.:J t~i -
nCC~f~LA1rC I~A ~I\WA -
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: ~r.. ~'it;:~~._~ :'iQ:'~i~+ 3 ~Li
UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSnnENt
(a{ ~b) (d) fe:
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-t,~i~: 1; '~1,.;~1 ^~-L2-'2 ~ ;~~1;_0~: <1 ;L~~%,
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" ?LACE OF FILING .,T _ . j_ ~,,-.,.t,
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W ITNESS my hond ot on this,
"3 the ~ ~ tt` doy of - ~`r , 19 <5
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= SIGNATURE TRLE
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(NOTE: C~~~d+cot• of oH~c~r ou~hory•d by to.+ ~o bb oc4nowl~dpm~ntt b not ~s~~ntlol !o th• volidifr of Nolk~ 01 F~d~rol Toc lhn G.CJN.
{ 26119. C.B. 1950-51, 125.) O R
~ 600K PACE~~
PART 1-To b• r~tcin~d by r~cording olfict
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