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OEPARIMENT OF THE TREASURY - NTERMAt REVENUE SEAVIGE Fw Optional Uss 9y RecOrdiny ONita ~
Form 889 '
(REY. 4-78) • NOTICE QF FEOERAL TAX LIEN UNDER INTERNAL REVENUE LAWS ~
i
DISTRICT SERIAL NUMBER s
JACKSQicTMILLE ~
Pursuant to the provisions of sections 6321. 6322, and 6323 of the Internal Revenue 346430 ~
Code, r~otice is hereby given thai there have been assessed under the Internal Reve- ~
nue laws of the Uniied States ayainst the following-named taxpayer taxes (including
interest and penalties) whiCh 2fi@~ ~Q[T~?~~ f~r ~}avmgr~t thgrg~~ rpmain ~innaicl antl
that by virtue of the above-mentioned statutes the amount of said taxes, together ~
with penalties, interest, and costs that may accrue in addition thereto, is a lien in favor
of the United States upon alf property and rights to property belonging to said tax- ,
~
PaYe~.
NAME OF TAXPAYER
LYI~Ri RA:rIii -
REStDENCE ~
120$ P~ 32i;D Si' .
FT . PI~CE, FL 33452 ?
I ~ UNPAI~ 9ALANCE `
~ KIND OF TF.X TAX PERIOD ENDED ! OATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT ~
j ie; (bl i ic) fd) (e) ;
~
~ 10u0 12-31-?3 E-3~-?5 2b1-5~-959tt ~ 371.b? `
~
~
~
4~E ~ d.:s uI ~
~R{ ~IJ'~
R~C02:' V"c.. ~ER~..a
~ 30 ~ ~3 ~!1'~b `~4~` n ~ .
~
~
' PLACE OF FILING CI~h ` ~ j j ~
ST. LUCIE COUti`l~~ TOTAL S 371.67 ~
F'T . PIE"tZCE, FL 3345a
~
WITNESS my hand at FT . PIFRCE, FL . on this. ~
~
the 2,~dayot ~eRtember , ~g ?6
SIGNATURE TITLE
~
~ G. A. Sharpe ~ Group Manager -
~s (NOTE: Grtifiute o1 ~wtlwrized by I w to talc~ ~cknowledom~nq is not esseMlal to ths vuidity ol Notlc~ W Fed~ral Tuc lt~n Li.C.M.
t~~ 20419. C.B. t~50-1. t25.
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