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OBARtYEIIt 0~ tNE TIIfI~SII~ - IMT61M~1 IIE11fMIE SITYItE fa OPtiona/ Use BY Recoiding ONics
~REV.iBi~t MOTICE OF FEDERAL TAX LIEN UNDER INTEI~IA~ REYENUE LAMIS
DISTRICT SERIAI NUMBER
Jackso~ville
Pursuant to the prov~srons of Sectioos 6321. 6322. and 6323 of the Internal Revenue
Code, notice is hereby given that the~e have been essessed under the Intemal Reve-
nue laws oi the U~ited Staces against the following-named taxpayer taxes (including
-mterest and penalties) which afte~ demand for payment the~eof remain unpaid. and
that by v~?tue of the above-mentio~ed statutes the amount ot sa~d taxes. together with
penslties. interest. and costs that may accrue in addition thereto. is a lien in tavor oi 42~
the United States upon all property and rights to prope?tY belonging to said taxpayer.
NAME OF TAXPAYER
A1 Polizzi ~
A1's Equipment Ranlals -
RESI~ENCE
33?~f3 Orange Aver,ue~ P. 0. Box 896
Fori Pierce FL 33450
UNPAID BALANCE
KINO Of TAX TAX PER100 ENDE~ DATE OF ASSE55MENT ~DENTIFYING NUMBER Of ASSESSMENT
(a) lbl (c) (dl (e)
~ 941 O.s-31--?$ 06-19-?8 ~9--13~7793 ~1 ~517.50
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PLACE OF FILING .
Clerk of Circuit Court
~ St. L~Cie County COUrtnOUSe TOTAI S 1~517.50
~ Fort Pierce~ FL 33~~u
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~ WITNESS my hand ac rort Pierce Florida , on chis,
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~ 24th day of JUlY _ 19 ~
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SIGNAT TITIE
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~ (NOTE: f~?o oNice~ autnor¢sd br Isw to nke acfu+owl~dprt~nts ~s not ssssnus~ to ths vahd+ty of Hot~ce o/ Fsdsrsl Ts: ?.sn G.C.M.
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~i 26419. C.B. 1950 s251
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~ART 1- To 5•3 retained by recording office r~~r z ~r
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