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DeMTYfIIT OF TqE TllEA51M1? - 1NT6MIAt IIEYEMIE SflYltE fo? OPt~ons/ Use 8~ Retordin9 ON~ -
~a~r.ieii? MOTiCE OF FEDERAL TAX LIEN UNOER tNTERNAt REYENUE LANR "
t?!~1l~? SERIAI NUMBER
Jacksonville ~
Pursusnt to the provisions of Sections 6321. 6322, and 6323 oi the Intemal Revenue 40~~1
Code. notice ia heroby given that there _have beeo assessad under the Intema! Re+re-
nue laws ot the U~ited States against the following-named taxpayer taxes (includi~g ,
interest and penalties) which aher demand for payment the~eof remain unpaid, a~d
that by virtue of the above-mentioned stbtutes the amouet of said taxes. Logether witA 3 ,
peneltie~s. interest, and costs that may accrue in add'K~on thereto, is a lien i~ tavor of ~ r.w
the United States upon alt prope?ry and rights to property belong~ng to said taxpayer. ~
_ no~v
NAME OF TAXPAYEft -:9
Bernie Lemar Hill . O~ ^~,o~,o
' r ~co~
RESIQENCE ~ ~ -,~=+o~
3607 Avenue K 4 .r 1 0"' ~
Fort Pierce FL 33450 °
UN D IANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IOENTIFYING NUMBER OF A SESSMENT
Is1 lb) (c) tdl 1s)
2290 Q6-30--78 01-02-78 59-1582205 $ 248.57
2290 06-30-77 01-09-78 " ~ 54.35
229Q Q6-30~-77 OI-42-78 " 189.69
2290 06-30-77 01-02-78 " 294.77
PLACE OF fILING Clerk of .CirCUit Court
St. Lucie County Courthouse TOTAI S 787.38
Fort Pierce~ FL 33450
WITNESS my hand at Fort Pzerce, Florida , on chis.
~ lst day of ~~Y 19 78
SIG E TITLE
Revenue Officer
( TE- CKbhcats oi offker sutlwr¢ by t~, ~o tsk~ aNcnowtsdyma+ts ~s nat esssntial to tAe ra4dty of Mot+ct ot FsOe.a~ Tax I~n G.C.M
119. C.B. 1950-1. 125.!
~AR7 1- To be retainad by ?ecording office BOGi( F'a
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