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form 888 D~P~piMENT Of THE iREA$UNY - MITERMAt REVENUE SERY~E FOr O iona/ Use By Reco~dfrp OHics ; ~
iREV. ~-~g~ NOTICE OF FEDERAL TAX LIEN UNOER iNTERNAI REVENUE LAWS ~
DISTRICT SERIAI NUMBER ~
JACKSO"..'VI:~,E
Pursuant to the provisionsvf sections 6321, 6322, and 6323 of the Internal Revenue 34~4`Z9
Code, notice is hereby given that there have besn assessed under the Internal Revo-
nue laws of the United States against the foliowing-named taxpayer taxes (including
interest and penalties) which at;er ~2^;a^~ ~`~.^.".~n* thargnf ra~~~~r1 unQeirJ: 8ftd
that hy vi~tue of the above-mentioned statutes the amount of said taxes. togethe~
w+th penalties, interest. and costs that may accrue in addition thereto, is a lien in favor
of the United States upon all property and rights to property belonging to said tax-
payer. ;
NAME OF TAXPAYER
DGRIS i+1. TAYIAF.
~ ~
RESIDENCE ~
5~09 S. II~IAi: RIV~ ~
r
1. PIr~CE, FL 33~t~
UNPAID BALANCE t
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT ~
e F
(d) ( ) t
fa) (b) (c) ,
~ s-3o-?6 21,0-05-68~ 8?~i v 54, 328.20 ~
~ol~o-i7 75ob, 7503,
75oy, 75~~~
7G03 _
~
F ~EU AN~ ~~fi~~~/~• ,
~ ~ - ~
~ ~oGch P I R?
CIERR ~ar~f ~ D `OU~~ ~
4Ff.AF~ 1
- ~ ~p I z~ ~M'~~ 34~ ~
~
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PLACE OF FILING Clerk of Circuit Court
St. Lucie County TOTAL ~ 5j~~328.20
Ft . Pierce, ~ 334~ ~
~
Ft. Pierce, ~ ~
WITNESS my hand at • ~
the ~3r3 day of Septe.'nber .19 76
~ SIGNATURE TITLE
~ G. A. Sharpe r Graup Manager
_ .
~ G
(NOTE: Certificate o1 ofiicar authotized by I~w to taks scknowlodpmsnt~ Is not essN?WI to tM v~li0ky ol NotlC~ 01 FW~hI Tvc Li~a O.C.M.
_ 2d4/o. C.B. 1~'Sat. /25,) - - - - - • Q k _ %~1X n~rt .1~~ ~