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Form CCQ o.v~lm.~am.Trwwry=~umMav«w.s.ro~5. _
(~~W/„~,,1978 Notice of FedlTa~c lien Ulde~ internal Revenue Laws .
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'L"^' _ ~j ~ `For oONond Ua by R~arQlnp OfNe~
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As proWded by sections 6321. 6322. and ;8:i2~ of` the Intertlal Revemle .Code. ~ ~ . A.
rptioe iy Given th6t taxes (induce interest ~i8 p8nalties) have base sassed : Y T _
a~nst~_the fdlowinp-named taxpayer. Demand-fat pa~tmertt of the Lability has - ~ -
been insde. but it remains unpaid. Therefora? there is a lien M favoir of the yrlited RECORO YERtFiEO '
StMes on all property and ri6hts to proPeMY befonp~ to this taxpayer for the
amount of -these taxes, and additional p. intere:t, and costs that mayr _
80Cfue. - _ 4s~~ - ~
Name of Taxpayer _
Bernie Leman Bill -
Residenoe _
36Q7 Ave -
Ft. Fierce Fl. 1 ~ -
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- Kind of T~nr Tar Period Endsd Oai~ d ~ - " Idirg Number - - af,Aslessw~lnt ,
w ca (a _ - cm - w .
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943 ].2~-31-78 a5-179 59-15~i~A5', _ 10,11+1.5
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- P`t:~. Pierce, Fl. ~ 3450 - - t
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This notice was prepared and signed at ice. Pierce.. Fl. - . on this. i
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the.~1L day of Se~_ .79 79. _ _ -
S' Title- 1
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Revenue Officer `
C~?tlHcao oHksr by ew ~o Wia~ nalaio~rN~mtrnrs M nor ossMrfW eo rl~ ` of Notlc~ ai f
ran tMn o.c.w. 2A41q. ~ - a. ~za.) - ~
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i ;o~ 1:~-'r..~hn
ti.~f'hi:
e~d6~e'iffi..) ~ form ~d (Rev 8.78) ~ .