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' OEi'ARIIBIT Or 111E TIIEAt1~r - rITE1rMl aFVel11E sE1WICE Fa Optional Va3 Br Rtcadirry ree
tR~EV.~t~-nl NOTICE OF FEDERAL TAX LIE110NDER INTERNAL tD:YENYE LAIMS FJLED AND RECORDED
plgTR~ ' SERIAL NUMBER LLI ~ 1 ~ % t; U NTY, FLA.
Pursuant to the provisions of Sections 8321. 6322, and 6323 of the Internal Revenue 4 -
Code. notice is hereby given that there have been assessed under the Internal Reve-
nue Taws of the United States against the folbwing-named taxpayer taxes (including X79 ~r~~~ ~ g ~ ; y 8
inteteat 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 ~ '
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 skid taxpayer. ~ L r. r ~ ~ , ~
t ~ ~ - ;
NAM OF TAXPAYER
David C Zf~Daniala
RESIDENCE
332 >!i 20th St
Fort Yiarco Fl 33452
UNPAID BALANCE
KING OF TAX TAX PERK)D ENOEO GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
Ial (b) lcl Idl lei
1040 12-31-75 10-10-77 266-66-6500 887.40
- 1040A 12-31-76 - 10-10-77 33.51
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PLACE OF FILING
CL~Cs CIiLCUIT COjB? TOTAL S
FOR? PIS>IyCB, FIARIDA 920.91
a
WITNESS my hand at~1!<>i~s Floc as on this.
~ the 14th dad of Jtana - 19''8 -
-
SIGNATURE TITLE Atv?ING
CHIBF, OFFICB BNAIiCH
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INOTE~ Cerof~csta of officer suthora by law to tab sckrwwledWnents ~s not sstsntisl to tf+s raYdty of NotKe of Federal Tex lien G.C.M.
28419. C.B. 195G-1. 125.)
PART 1 - To be retained by recording office
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