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~~v ~ao~ NOTICE OF ifDERAI TAX U@! UND~ MITRNAt REYENUE LAWS iI~€o ~wc n~ uR~~~
DISTRICT SERUL NUMBER ~T.LNCI~.CO ~1~f
JACKSOrJVILL~ ROCEF POtTRAf
CIERK C+aGU1T COUI1t
Rc~nan Yf, 'f?EO
PuauoM ro the prov+sions of Sectiais 6321, 632~, and 6323 of the Internal iEev~
nue Code, nofice is heteby given that 1F~e hove bee~ assessed under ihe Inte~na! ~ i e ~ i y~ ~'15
Revenue laws of the vo~ted Stctes agair~st the fotlowing-named taxpayer, taxes (includ- ~
ing interest cnd penolties) w!?ich after demcnd for paymeM thereof rertwin unpaid. and
thct br vi~tue of the above-menliooed stotutes Ihe amouM of soid bxa. ~ w~th
peno}t~es, interest, and cosfs that may accnre in addition thereb. is a lien in #mror of 31~ `
the Uniled States upon a!1 propery ond righh to properly be~onging to said tcxparer. ~~9 ~
NAME OF TAXPAYER ~
James & Gwnette Boozer •
P.ESIDENCE -
lali0q Pres ,ler -
Ft Pierce, 331~52 ~
ur~Pa~ aAUr~tE ~
KIND OF TAX TAX PERIOD ENDE~ ASSESSMENT DATE IDENTIFYING NUMBHt OF ASSESSAAENT ~
Ia) l~l kl ld) Iel
12- 1-?!~ 5-26-?5 261-66-7210 373.91 ~
101~0 3 ;
4
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~ qerk. ClrcuR Crourt TOTAL : 373.91 ~
SL Luc1e Cour~ty
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5
$ 4
~ VMTTIESS mr hond at 2~3iarti.~ ,"lo~d8 , on Ma, ~
~
~e i5~ dor of ~pt 9 75
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SIGNATURE TITLE 3
Chief, Office Branch ~
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(NOTE: CatiRcabe oi oH'icer au low to tdce ackrawledgments is nof esserdid b ths vol~~r of Natice oF f~d~rd Tmc li~n G.C.Nt
26119, C.B. 1950-51, 125.) -
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PART 1-To ba ntdn~d by ncordinp o~u a~Kz43 2fi4~'
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