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fom~ 668 QEPARTMENT OF TFIE ~ASURY-lN1E(~IAI REVENU"c SERVKE F.~. oa~o~wi ux er Re~o.d,~9 o~ce :
tR~v. ~a~~~ NOTKE OF FEDERAI TAX UEN UNDER INTERNAL REVENUE LAWS
DISTRICT SERIAL NUMBER
JACKSONVILLE ~
Pirrsuant to the p~ovisions of Sections 6321, o
6322, and 6323 of the Internai Reve- d'~w
nue Code, notice is hereby given thal there have been assessed under the Interoal tv ._~.,~?Ar.~r"„
Revenue laws of the United States against the following-named toxpoyer, toxes (includ~ a°
ing inte~est ond penolties) which aRerdemand for poyment thereof remoin unFaid. and W ~~?i W
that by virtue of the obove-mentioned statutes the omount of said taxes, together with ~ A _~o~o~ ~
penalties, interest, ond costs that moy accrue in addition thereto, is a lien in fovor of ~ a+ o~_°-,~_~ ,
the United Stotes upo~ al) propery and ~ighh to property belonging to wid taxpayer. ~¢i~ ~
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NAME OF TAXPAYER ~ ~ >o M~ :
Johnnie ?;1. Bateman ~ v~''~+ G~ -
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RE~DENCEp.O. Bo:: 1~.31+1 ~ ,
Fort Pierce, rlorida ,33G~52
UNPAID BALANCE
KIND OF TAX TAX PERIOD Et~DED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMEtrlT
(~1 !b1 kl (dl i~l ~
941`~ ~3-31-74 o?-01-74 59~-1517916, ~23.og
9k1 0~,-3~-?1+ ~-34-7~ 59-1517916 .66
941 09-3~-74 ~~~-3~-75 - 59-15~?91~ _ 5z~.qf;
941 12-31-7~; 0!~-30-75 59-15?7916 ~33•~~
9t~ 12-3~-7k ~-3Q-75 59-1517916 118.25
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~ PLACE OF FIUNG CLERK, CIRCUIT COURT
ST. LUCIE COUNTY TCTAL S
; FORT PIERCE, FLORIDA 5~x,7~n? _
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~ WlTNESS my hand ut T''nrt. Pi nrna_ Fl nri da , on this
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~ tfie 7s`th daY of •Ti~1~~ , 19~,5 '
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~ SIGNATURE ~ TITLE ;
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~ (~:s';avo D. Su~ro Rever.uh Of~':c::r _ _
~ (NOTE: Certificate of officer outhorized by low to toke ocknowledgmenh is no1 euentiol to the volidity of Notice of F.~ral Tax lien G.C.RA.
~ 26419, C.B. 1950-51, 1?5.) ~f~
PART 1=To be retained by recording office ga~K «
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