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Form 86B ' L`EMdTYENT Of TNE TIIEAS1111Y-NiTEAMAI 11EYENUE SERVICE For Opdona! !/te By RetOrd+n~ Of/ipe
-(REV. ~z•~s) MOTICE OF fEOERAI TAX LIEN UNDER iNTERNA~ REVENUE~LAINS !
(31STRICT SERIA UMB R ~
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Pursuant to the provis'wns of Sections 6321, 63?2, and 6323 of the Intemal Revenue ,~~'j~~R ~~#!!i ~
Code, notice is he~eby giren that there have been assessed u~der the Interna{ Revenue laws qic C~#S~?t~ ~ _
of the Unit~d States against the foilowing~tamed taxpayer. wxes (inciuding interest and 1~F~f iEa #
pe~alties) which aite~ dema~d for payment thereof ~emain~unpaid, and ihat by virtue of ~
the abore-menta~ed statutes tfie amount of said taxes i ther with penatties, interest, '
and oosts that may aocrue in addition thereto, is a lieo in favor of the United States upon ,
all property and ~ights~io prap2riy belonging to satd taxpayer. . ~ ~
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NAME OF TAXPAYER • .3~p~,71 .
~.o~t
;'t. Pierce H~ineral ?'or.te P.A. •
RESIDENCE . ' - . ;
106 ltth Street. ~ . ~
T~'t. Pierce Fl. 33~ -
' - ' " UNPAID BAIANCE
KIND OF TAX TAX PERIOD fNDED UATE OF ASSESSMENT IDENTIFYING NUMBER . OF ASSESSMENT
!a1 tb1 Ic! Idl • fel
112Q 11-30-73 11-18-7ls 59-12821i.12 ~,°~4•~5
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~ PLACE OF FIUNG ~]„erk O~ Superior Ca~ux~t ~
~ St. I,uCie Calnty . TOTA~ S '
~ t. Pierce, ?l.. 3345~ ~t, sbl~•85 ~
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WITNESS my hand at Atlanta~ Gaorgia " , un this,
the~~dsy of ~
ebruarv , 19
SiGNA E TITLE
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(NOTE: Cwtificat~ of offip~ ~utho~isW by law to tak• knowNdprtMnts is nOt ~st~ntial.to tiN val~dity Oi Nptiq M F~dsrM Yuc li~n G.C.M.
- 28419. C.B. 1950-1. 125.) ~rr ~
PART 1-To be relai:?ed by recording of(ice F~i~ t~~
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