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FOtm 66S OEPARIMEM OF THE TREASl1RY-NTERNAI REVENUE SERVICE For Opfiotal U~e 8y Rerwdng OKio~
l~ 1-~~) NOTKE Of fEDBtAt TAX LiQ~! UN~Bt INTERNAI I~YENI~ tAWf f ~FO Ab0 RECOADE9
DISTRICT J~~~ SERIAI NUMBER 3r~31U ~ pp EA POITp~$
IirV CtERR CIRCUIT COURT
Pursuant to the provisions of $ections 6321, 6322, ond 6323 of the Internol Rev~ ~~dRO YERtF(Ep`~j
nue Code, notice is heteby given that there hove been assessed under the Internal
Revenue laws of the United Stotes agoinst the folbwing-named toxpoyer, taxes 1 IZ s~ PN
ing ~ntc~est and penolties) which ofter demond for payment thereof ~emoin unpaid. and
that by virtue of the obove-mentioned stotutes the omount of said roxes, together with
penolties, interest, a~d cosh that moy accrue in addition thereto, is a(ien in favor of
the United Stotes upon all propery and righh to property belonging to soid toxpayer.
NAME OF TAXPAYER •
~xt c ~rr.r.~ 32"~31U
Rfs~oEr~cE 121? Bll~lIOND AVB . ' '
~r ~tc8, ~t 33452
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KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
lal I~1 kl Id1 Iel
10i4o 12/31/73 9/29/75 262-54-8626 527.75
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. PIACE OF FUNG
r Clerk, Circult Court
~ ~ SL LuCie COUrlty TOT/1L = 527.75
FoK P~eroe, Flonde
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~ WITNESS nry hond at HI~+Q. FLORIDI
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SIGNATURE ~ ;
~ f:~ i~~O tA(~E 8 CHI~F, oFFICB B~iCA F`
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~ (NOTE: Cati6cate of ofFice? "b take ocknorvledgmenls is not esseroid 1o the validil~r of Notice oi Fyderd Tmc Lisn G.CM
26119, ~.B. 1950-S1, 125.)
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PART 1-To b~ rNain~d bp ncordinp oAk~
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