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~ ese ~ ~ aerwrnier? a n~ n~~?s+~r - rrrew~t ~va~ savia ior Opnon,l Uss Br Recadina Oliicyy
tnEV. 2-rn NOTICE OF FEDERAL TAX l1EN UNDER IMTERNAI REVENYE IAwS
DiSTRtCT SERIAL NUMBER f1~E01?NO RECQ~OtU
Ja~~~ sT. wCiE COUNTr F~~?
aoGER Pa~tRaS
CI:~R C~RCUtT C~~R .
Purwant to ths provisions ot Sections 8321. 6322. and 6323 of the intemal Re+renue " F" '
Crode. rwtice is hsreby given that there have bse~ assessed under the Intemal Reve- ~UL ~c 12 4s PM ~~O
nue ~aws of the U~ited States against the following-named taxpayer taxes tinduding p
interest and penalties) which ahe? demand for payment thereoi remain unpaid. and •
that by virtue of the above-mentioned statutes ihe amount oi said tsxes, togsther with 4i'~~.1~
penalties. interest. snd costs that may accrue in additb~ thereto. is a lien in Iavor ot ~
the United States upon all property and rights to property bebngir?g to seid caxpayer.
NAME OF TAXPAYER '
- 9pe~iosr de Bsaad.e i~ilson
RESIDENCE
130~7 Ni 20thi 3tt~t
Ft~i Pies~s Fl,orlda 334a0
.
uNPnro BauaNCE
KIND OF TAX TAX PERIOD ENDEO DATE OF ASSESSMENT IpENTtFYlNG NUMBER OF ASSESSIMENT
fsl lb! Icl 14) t~l
~oi~o t2-31-.77 05..01-78 261,~.l0.6595 ~ $5o8:e5
PLACE OF FILING C~' ~~,r ~
$1'. ~Q$ CAT~1'1'T TOTAL s 506.85
P+ORT P'~RCS, FIiO~IDA
WITNESS my hand at ~ffi~ , on Mis,
the 1~• day of ~ 19 ?8 ~
SIGNATURE TITLE,,. t
~
0!lics Branch
IE: CMtihcats !+i Q by Isw to nke acknowlsdprt»nts is not ~qa?USl to th~ vsWAy otN~ Tsx !~n
~qOr V ~
2841 . C.B. 1950 1. 125.1
800 QAGE
PART 1- To he rotai~~ed by rscording office
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