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WrmdQB OBMTYBIT Oi 11~ 1~ - Ort6wAl ~YB~ iE1MCE for Optwnrl Ust BP R~c~ardiny ONin
tpEV.2-rn NOTICE OF fEDERAL TAX LlEII IINDER INTEltMA~ REYEIWE U11NS 4~~
DISTRiCT SERI/~L NUMBER ~ ~ .
Jacksonville "
Purwsnt ta ths provisio~s of Ssctions 8321. 6322. snd 8323 of. the Intamal Aevenue ~
Cods. notios a he~y given thst thsrs hsvs b~sn astsstsd under the Intemal Reve-
nue laws of the United States sgsinst ths fdlowitp-namad taupayer tsxes (induding
intere~t and pensltiss) which efte? dsmand fot psyment theteof remein u~aid. and ~t ~ ~
that b~ vittus o1 the•ebove-mentioned stetutes Ms amotrltt ot sa+d tsxes. Logether with f+ ~.=K t.~ ?~1, ~ZL~S
. ,+E r~K..
penai0es. interes~ snd oosts thst msy sccrue in addition theroto. is a lien in favor of ~ O
the United States uppn all properry and rights to ptopBRy belongmg to ssid texpeyet. l' ~ 3~H 1 r
NAM OF TAXPAYER M~r
Fred i~eeler '
R ESI OENCE ~O4Q26 .
1207 N. 13th Street
Fort Pierce FL 33450 -
UNPAID BALANCE
KIND OF TAX TAX PERpD ENDED pATE aF ABSESSMENT IOENTiFY1NG NUMBER OF ASSESSMEMT
' ts) t~l I~a lal N) .
1040 12-31-74 07-05-77 115-20-1292 $ 1~093.80
1040 I2-31-75 05-23-77 " - 997.-qg
PLACE O~ FIUNG Clerk of CirCUit Co~art ~ .
St. LuCie County Courthouse TOTAL S 2~091.78
~ Fort Pierce~ FL 33450
WITNESS my hand at Fort Pierce, FLORIDA , a,
~ 15th ~y MaY _ t9 78
SI TU E TITLE -
- Revenue Officer '
( : C«tifiint o(ficw rutlar by taw to ak~ scluawNdyrnents is not rs~+tiN w tM vMidity ot Notiq o( F~d~r~l T~c t~n G.C.M.
9. C.B. 195 1. 125.)
~ PART 1-- To be retainsd by recording office 287 ~
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