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Form 6S$ DEPARiMENT OF THE TNEASURY-INTfRNAI RfVENUE SERVlLf fa? Opliw~al Us¢ By Rt+cO/ding O~/iCe
f REY. 1?-71) NOTICE OF fEDERAI TAX LIEN UNDER INTERMAI REVENUE LAYVS
JISTRICT SERIAL NUMBER F~LE~ ~4= +t:ceRDEO
ST. loC~[ ~;;~kir FtA.
Jacksonville Re~~~~ ~a~r~AS
CCEP,K : :?;~tT COURT
Pursuant to the provisions of Sect~ons 6321, 6322, and 6323 of the Internal Revenue RF~n~^ y; ~F~~ ~
Code, notice is hereby given that there have been assessed under the Internal Revenue laws
of the United States against the following-named taxpaye~, taxes (including interest and ~~c Q ~u
penalties) which after demand for payment thereof ~emain unpaid, and that by virtue of w 58
rhe above-mentioned statutes the amount of said taxes, together with penalties, interest,
and costs that may accruP in addition the~eto, is a lien in favor of the United States upon
all property and rights to property belonging to said taxpayer.
NAME OF TAXPAYER
;:ichael ~ DorottW l~:einzirl 34~1~~?9
RESIDENCE
Route 1 3ox 701 ~ ~
~'ort Pierce, :'lo: ida 33~+72
UNPAID BALANCE
KIND OF TAX TAX PERIOD ~NDED DATE OF ASSESSMENT iDEtVTIFYIIVG NUMBER OF ASSESSMENT -
tai !b) !cl Idi {el
101,0 ~ 12-31-75 6-7-7b 206-0~-~35 ~ 1, 502.1+7
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PLACE OF FILtNG ~
Clerk o£ Circuit Co:.irt 1, 5J2.1~7
St. i,uCie County TOTAL ~ S ~
~ort Pierce, Fla. ,
~'VITNESS my hand at ~~ielbourne, Fla, _ , on this, ~
the21 st day of J~ , 19 76
SIGN R TITLE
~ :t~evenue iif ficer ~
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(fYOTE: rtificete ot otfrce. authoriree! by ~aw to take xknowledgments ~s ~ot essenual to the va~~d~ty o~ Notice of Federsl Tex l~en G.C.M.
26419. . 1950 1, 125.1
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PART 1-To be reta+-ed by r^corc?ing o~~ica Pri1~ ~w
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