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(1E?f111T1AE11T OF TtfE TIIFJ1Stl~y - r1TEM1Al IIEYBNE SEBYILE for Options/ Use 8y Rstrxding ONiee
tR~EV. 2877) NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL REVENUE LAWS
DIgTRI SERIAL NUMBER ~ FILED AND RECORDED
JAGKSONVILLT ,T. ~iF t~!`UF~?Y, FLA.
Pursuant to the provisions of Sections 6321. 6322. and 6323 of the Internal Revenue ~ 4~~z
Code, notice is hereby given that there have been assessed under the Internal Reve- n
nue laws of the United States against the following-named taxpayer taxes (includings ~ r1 ~ 2 ~ ~ l; : 5 4
interest and penalties) which after demand for payment thereof remain unpaid.. and ~ /
that by virtue of the above-mentioned statutes the amount of said taxes. together with 9
penalties. interest. and costs that may accrue in addition thereto. is a lien in favor of
the United States upon all property and rights to property belonging to said taxpayer. C 4; ~ ~ ; ~ r v : - ~
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NAME OF TAXPAYER
4Ji111e J• Latapkin
RESIDENCE
4109 Msntanzas
Ft• Pierce, Florida 334sL
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT- IOENTtfY1NG NUMBER OF ASSESSMENT
(s) lbl ic) Idl (el
10110 12-31-76 08-01.77 255-70-97 X2798.58
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PLACE OF FILING
CLERK, CIR~TIT COURT
~ ST. LUCIE OOUNTY T07AL $ 2798.58
FT. PIERCE, FLORIDA
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WITNESS my hand at Miami: inlOrlda on this,
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r the 2nd day of reb tg 78
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~ SIGNATURE TITLE
Chief, Office Branch
(NOTE. to ~ officer t sd by law to rJcnowbdgments r_ not ssssnt~al to tM vaMd~ty of Not~u or Federal Tsx Lien G.C.M.
' '.6419. .B. 950 i25.1 1
_ PART T - To ~e retains recording oflice BQG!(Wi FACE1~
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