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~A~v.~i~~ NOTICE OF FEDERAL TAX LIEN UNDER INTERNAI REYENiIE lA1MS
DISTRICT SERIAI NUMBER
Jackso~~vil le ~
Pursuant to the provisions of Sections 6321. 6322, and 6323 of the Intemal Revenue ~
Code, notice is hereby given that there have been assessed under the Intemal Reve-
nue Isws oi the United Stetes against the folbwing•named taxpayer taxes (including
~nterest and penalties) which aher demand for payment thereof remain unpaid, and
chat by virtue of the above-mentioned statutes the amount of said taxes. together with
penalties. interest. and costs that may accrue i~ addition thereto. is a lien in favor of
the United States upon all property and rights to p?operty be~onging to said taxpayer.
NAME OF TAXPAYER
Leroy F. ~ Jr. ar~~9 June 3. NicKell
RESIDENCE
3234 Naylor Drive
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDEO OATE OF ASSESSMENT ~OENTIFYING NUMBER OF ASSESSMENT
Ial tb1 lcl ldl le)
! lt?4G 12-31-73 05-2?-74 335-24-b340 ~ 1~291.25
~ 1040 12-31-74 ~0-~2-75 " 1~889.20 ,
= 1040 12-31-75 06-07-76 1~15~.39
~ 1G40 12-31-76 G~5-30-77 30+.~3
~ lpq~ 12-31-"17 t~-15-78 ~8
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~ i fIIED AND RECOkDEU
~ ST. LUCIE COUNTY FL4 \
~ ~ ROCER POITR~S
r.~ rqK C?3CU! C~URT
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~ A~... g 9~ 5 AN'~
~ 41291q
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PIACE OF FILING Clerk of Girci~it COUri
~ Q TOTAI S 4 697.4~
~ St. Lu~ie Cow~ty t.ourthovs,. ~
Fort Pierc~~ FL 334~~0
~
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~ WITNESS my hand at Fo:t PierCe Florida , on ahis.
~
~ ~ 3rd day of August _ 19 ~
a~
~
~ SIGNATURE TITLE
Revenue Of f icer 600K PA;E
~ (NOTE~ GrLfica* oH authwaed by ~aw to t~ sdcnowlsdpnwots is not esssnt~al to tM valdAy of Not~cs d FedKS~ Tsn t,N+ G.C Ir!
28419. C.B. 195G ! 125.i
PART 1- To b9 rotained by ?ecording office
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