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F o~~ eee o~.~~u~NT oF T?,~ TR~?su~,r-~r~ru~ REVerwe s~v~ FwOptional Us~ By Rsmiding 0111c~
iREV. 2-71) NOTICE OF FEOERAL TAX LIEN UMDER IMTEttNAL REYENUE LAWS
DtSTRICT SERIAL NUMBER ,~,;;~iY rU1.
~ tLERKC~RCWT GO IAT ~
P~rsuo~ttotheprovisionsofSections6321,`6322,and 6323 of ihe Internal Revenue RECORDYERIFE
`ode, notice is hereby given thot there have been assessed under the Internal Reve-
r~e lo•Ns of the Un~~ed Sta~es ogainst the foilowing-named toxpayer. taxes (including ~i 1~ ~11 1~C
~~,~erost ond penalties) which after demand for payment ihereof remain unpaid. and ~ x~ 0
~^.ot by ~irtue oftheabove-mentionedslalutestheamount of said taxes, together with
r,enoi~ies, interesl, ond costs thai mayaccruein'addition therefo~ is a Ifen in favor o(
the United Statesuponalipropertyandrightsto properfy belonging to satd toxpayer. 3~;1~5
NannE OF TAXPAYER
Siman & Carol Kla r
RESIDEPlCE
Port Saint Lucie Flo~ida 32l~
UNPAIp BALANCE
KIND OF 1AX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESStu~Er~I
;i fo) Ibl ldl I~i
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i w4o 7212 o8-ob-75 o9z-~3oM5781~ 974 05
i 10tt0 7312 06•16~•75 091•30•579Lt 917.13
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ACE OF FIUNG
~ cL~x, CIP.CUIT CQL~3 1891.i8
TOTAL ~
~ ST. LUCIE COUNTY
~ FT. PIgtCE FL
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~ ITNESS rny hand at Mi~i ~ F~ , on ihis, ~
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b ~?,e 1~ dor ot Jenuarv , t9 76
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SlGNATURE TITLE
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~ (NOTE: Grlditol~ of oMk~r ovlAorit k• oc~nowbdpm~nt~ y not ~i:~ntial to th• rolid(1r of Nutk~ of fedtrol To~ lNn G.CJN.
261l9. C.B. 1950-51, 125.)
~ ~,a 2,~ ,
PART 1-To be r~tain~d by r~coiding oHic~ F~~i fAGE ~
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