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t1HAltttrtelT OF TIE TIIfAtiMT - tNTeIMl1l ~E1IBIIE tElIVICE For Options/ Use By Recording Ollice
IR~EN. 2877) NOTICE OF FEDERAL TAX IN:N UNDER INTERNAL REYENYE LAwt
DISTRICT SERIAL NUMBER
Jacksonville
Pursuant to the provisions of Sections 6321. 6322, end 6323 of the Internal Revenue
Code, notice is hereby given that there have been assessed under the Internal Revs- ~79 I~AY 30 PH 12~ I
nue laws of the United States against the following-named taxpayer taxes (including
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 LE_Q AENUpRfCORDEO
penalties. interest. and costs that may accrue in addition thereto. is a lien in favor of ROuuG~ER
POITRASA~
the United States upon all property and rights to property belonging to said taxpayer. CLt3tfl CIRCWT COURT
NAME OF TAXPAYER RECORD VERIFtFD_
Krause Industries Inc. 44614 5
RESIDENCE
5305 Oleander Avenue
Fort Pierce Florida 33450
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
1st Ibt Ic1 Idt lel
941 03-31.78 03-26.79 59-1630495 1097.47
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PLACE OF FILING
Clerk of Circuit Court
St. Lucie COwlty Courthouse TOTAL 5 1097.47
Fort Pierces Florida 33450
WITNESS my hand at Fort Pierces Florida on this.
~ 29 day of May t 9 79
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SIGNATUR Charles J, Moran Jr. TITLE
Revenue Officer
(NOTE: :u officer suthor~zed Dy telre schnawlsdprnents is not euent~el to tM vsMdty of Noboe of Federal Tea l,en G.C.M.
23419. C.B. 95C- . t25.1 ~~QQ
PART 1 - To be retained by recording office QQ~KWV o~^FziW
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