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F«m 668 oe~n~rir oF n# nEwsuer-arrES~u~ ~~r~ k:.~ Op~onol u• er R.oo?d~y o~e i
~~v ~ao~ MOTKE OF FEDBtAt TAX L~! INlDQ lliBtNAL REYE~N~ tAMlt
DiSTRICT SERU1l NUMBHt fIIFU anC• ~~CCROEU ;
J`~~~ ST. WG+_ COUhitf F~A.
Fi~~;E'''?u::RAS
Cl r=+~ ~ -tCU?T COURT '
PursuaM b the provisions of Sections 6321, 632?, u~d 6323 of the Internal Rev~e- °ECC?~'• ~''F'E~ ~3
nue Code, no6ce is hereby giva~ tha~ th~ve have been ossessed under the IMemol 9
Revenue lows of the United Stotes ogairut the fdlawi~g-named taxpayer, tmces (includ- ~ l IU 23 AN'75 ~
iog i~erest ond penalties) wfiich aker demand for parntnt thereof remain unpoid. and
M~at bp virtue of the above-mer~tioned statutes tha omount of said roxes, together with
penolties, interest, and costs thot may acuue in addtion thereto, is a lien in fmor of
' fhe United Stafes upon oll properiy and righh to property belonging to soid taxparar.
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~ NAME OF TAXPAYER ~
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Jeroas Ben~aadn ;
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2707 Waucsr Ur ~
Ft Pierce, F1 33~52 ~
UNPAID BALANCE ~
KIND Of UX UU( PERfOD ENDED /1SSESSMENT DATE IDENTIFYING NUMB6t OF ASSES.SMENT
, (a~ lbl l~l Idl Iel
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91i0 12-31-?3 7-28-75 5~~541703 96.22
91,o i2-~.-74 ?-28-75 59-1551~1i7o3 52.27
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`s PU1CE OF RUNG ~
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St. LuCt9~COliMy TOTAL = 1~S.L19 ~
Fort Pler~oe, Florids ~
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' vVrtNESS nn? hand at
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€ shs dop of OCtobeY' , 19 75 S
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f (NOTE: Cerfificafs of oA~icer auH+oriz~d by law to fdce odu?owledgmenls is nof'a~entiol b th~ rol'eddp oi Notio~ of ~~d Taot li~n (3.ClY~ ~
~ 26419, C.B. 1950-S1, 125.) d~~ t~~~~~~~
~ PART 1-To be rNain~d bp nw~di~q oAlo~ ~OGK 4
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