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OeNnYBIT oi i~A~ - rlrerMl ive~E ieMCE Fa OPtia~sl Uss Br R~rad~n~ OUire .
~R~EV.6t-~in NOTICE OF FEDERAL TAX L~l1 dNOElt IMTERNAL REVENYE LAMR .
DISTRICT . SERIAI NUMBER 4~Q~
Jacksonville ~ ~ .
P~,inuant to ths provisions oi Sections 6321. 632Z. ~nd 8323 ot ths Intemsl Revsnue
Code. notice is hsrsby given thst thsro heva besn a~ssssed under ths Intsrnsl Reve- RDEO
nus I~ws of ths United States apainst the followinp-namsd taxpayer taxes iincludirq F~~Ea I?MO~o -
ws
intersst .snd penaltiea) which after dsmand for paYmant thereof remain u~sid. and Sj• pOCt* ~ITai~S ~
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chat by virtue oi the above-mentio~ed ststutes ths amown of said tsxes. together with
penstties. interest, and costs that msy ac:crue in addicion thereto. is a lien in favor of ~L : -
tfie United States upon all property and rights to prOpeRY belon9in9 to ssid taxpayer.
NAM OF TAXPAYER - M~y I B I I O4 QH ~~R
Norman David Mdersen ~
RESIDENCE illa e Inn ~nw~
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2400 S. Ocean Drive •
Fort Pierce F
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED OATE OF ASSESSMENT IDENTIFYING NUMBER ~F ASSESSMENT
i Is) lbl lel W? ~ Id
! 941 12-31-77 04-10-78 59-1597226 $8~334.40
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PLACE OF FILING C~erk of Circuit Court
~ St. Lucie County Courthouse TOTAL S g~334.40
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~ Fort~P~ierce~ FL 33450 ~
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WITNESS my hand at Fort Pierce~ Florida . on tt+~s.
~ 15th ~y of May J ts ~8 -
SI E TITIE
Revenue Officer
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_ 19.Gd.1950-t.125.1 ~~t~~~ ~ 8~
PART 1- To bs rsta~ned by recording offics
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