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(R~EV.aZa-7871 NOTICE OF FEQERAL TAX LIEU NNOER INTERNAL REIIENIIE LAwS ' FILED'A!vD RECORDEO~ e
DISTRICT SERIAL NUMBER ST. LUCIF COU`~TY..FIA.'
JAC~90NVILLB : ^ ~ ! = ~ c D
Pursuant to the provisions of Sections 6321. 6322. and 8323 of the Intemal Revenue 4 ~'~~~5
Code, notice is hereby given that there have been assessed under the Internal Reve-
nue Isws of the United States against the following-named taxpayer taxes iindudirlg '79 JA~d ~ 9 ~ ~C ~ 48
interest and penalties) which after demand for payment thereof remain urlpeid. 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 said taxpayer C LE ~ r< C ~ E T ~ r) riT
NAME OF TAXPAYER
Charles D. Inc
RESIDENCE
1114 S• Ocean ~aulevard _ -
Ft• Pierce FL
UNPAID eAl!?NCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
Is1 tbl Itl b) lel
10!10 12-31-75 7-]A-78 007-48-6959 2,292.55 -
1040 12-31-76 7-03-78 007,48-6959 1,875.50
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PLACE OF FILING ~QTIT OOZTRT
ST. U1CI8 OOUI~TTY TOTALS 4,168.05
PTe PffitCS~ FLORIDA
WITNESS my hand at T~ai><1x - on this.
a
ttls 22nd day of Ayt~tat _ t 9 78 ~ -
SIGNAT E TITLE
f
I~i~t 0!t'ioe Bran ~ ~
(NOTE: Certfiase of offksr auttwraad by taw to tats scknowledpinents snot essenosl to the vaMdrtY of Noaoe of F Inn G.C.M.
28419. C.B. 1950-1. 125.1
PART 1 - To be retained by recording office ROCK ~
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