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Forrt1688 . OEIMT11ENT OF SME TIIEASY~Y-IMTERNAI REVENYE fE~11tCE _ FO/ ~ti0/i1l ViE By R~CO~dby 0/!i0! _
lREV. ~2a~f . NpTiCE OF FEDEfiAI tAX UEN UNOER INTERNAL REYEMUE IANR . t~
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Pur~uant to the provisions of Sections 6321, 6322; and q23. of the Internal Reve~ue ~
Ccds, notip is he~eby given that there have been sssess~d ut1d~ the internai Revwtua Isws ~
of the UniUd States against the toltowug-named tax~p?er, taxes lindudin~ interest and ~
penaltiesl which after demand fa psyment thereof r~ain unpaid, snd that by virtue of _
the above-ianentioned statutes the amount of said ta~ces topether with penafties, interest. -
and oosts that may aca~e in sddition thersto, is a lie~in favor ot the United Ststes upon ~
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atl property,and ~ighu to {xoperty belwging to said taiF~ay~r. ' ~ o
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NAME OF TAXPAYER ~ ~~~~o
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RESIOENCE _ ~S~lr ~ ~
40T 3 ]~tth St. - : - ~ -~ae
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KIN~ OF 7AX TAX PERIOD ENDED DATE OF ASSESSMENT tDEN7'IFYING NUMBER OF ASSE ENT
lsi lbl lcl Id1 " (ei
1040 12/31,/74 5/28/7S 17~-38-6088 98.6?
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PLACE OF FlLING (~erk~ CirCU3t~ COtirt
St.Lu,ci~s Connty TOTAI S 9$.67
F't.~.eTCA~I~. j~1~
WITNESS my hand at ~1s~~~~ , on this,
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cne 26~ey or ~»g"°t ~s T6 ~
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StGNATURE TITL,E
K. F[.' t~dlP NA~TA(~SR
• tNOTE: G~rufipa oi o~fiur wshorhwl bY Iaw to talc~ ~clcnowl~dyrtw?ts:s not ~a~nt+al to U+~ validity of N4rke M f~dMM Ta~t L.W~ G.C.M..- .
26~18. C.B. 7950-1. 125.)
- PART 1- To bs r~lained by recordiny o(fice b~ ~ Q~~
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