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iwm 6d8 OBARiYpR OF TNE T~fA51~ -~T~L ~YE111E SdIYItE fOr OPtiona/ Usa BY Retwding OHite
tAEV- 2-~n NOTICE OF FEDERAL TAX LIEM UNDER INTERNAI I~YENYE L11Wi
OISTRICT SERIAL NUMBEFi
Jacksonvi l le j1~E~~~~M~R
Pursuant to the prov~sions of Sections 6321. 6322, and 6323 of the Intemal Revenue sT R~QEa ~OITAAf
Ct fP.K C~RCUIT CO R
Code, r~otica is ha~eby given that there have been assessed under the Intemal Reve- •;F•a:siFD
nue Iwvs ot the United States agai~st the folbwing•named taxpayer taxes (including
intete=t and petielties) which after demand fot payment thereot remain unpaid. and ~PQ 3 Sa PM ~~G
that b~? virtue oi the above-me~tioned statutes the amount oi said taxes, togethet with
penaities. interest, snd costs that may accrue in addition thereto, is a lien in favor of ~
the United States upon all properry and rights to ptope~ty belonging to said taxpayer.
NAME OF TAXPAYER
Hayward Lee ~
RESIDENCE
705 N. 9th Street ~
Fort PierCe, ~L 33450
' uNPaio snu?NCe
KINO OF TAX tAX PEAIOD ENDEa OATE Of ASSESSMEidT IDENTIFYING NUMBER Of ASSESSMENT
tsl Ib) Ic1 Id1 le1
10~40 I2-31-74 04-03-78 252-64-9222 $ 348.51
1040 12-31-76 04-03-78 " 844.94
PLACE OF FILING Clerk of CiTCUit COUrt
St. Lucie County Courthouse TOTAL S 1~193.45
Fort Pierce, FL 33450
WITNESS my hand at Fort Pierce, Florida , on chis.
tbe lOth day ot ARril _ 19 78
SIGN E . TITLE
evenue Offi er
TE~ CKtrl+cate f oH+csr su ~d by Isw to isks acknowlsdprrnna ~s not essenbsl w tM vaMdty of Not~ce of Fed~.sl Tu lHn GC.M '
i
19. C.B. 1950- t. 1251
PART t- To ba rstained by recording office E~ x~~5 ; r 64
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