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46.~t913 -
Form Department of the Treasury - Internal Revenue Service
(Rev. SeVptVember19781 Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For ovriona? u:. cy Aecwtliny orfice
Jacksonirille
!919 QCT 26 13
4s provided by sections 6321. 6322, and 6323 of the InternA! Revenue Cede,
notice is given that taxes (including interest and penalties) have been assessed FILED Ahi' FECG:~:,i
against the following-named taxpayer. Demand for payment of this liability has S ROGER
PO
TRASH
been made, but it remains unpaid. Therefore, there is a lien in favor of the United CLERK CIRCUIT COU T A
States on all property and rights to property belonging to this taxpayer for the R'CC?0 YEF F;f? . ~ i~
amount of these taxes, and additional penalties, interest, and costs that may
accrue.
Name of Taxpayer 4913
Z 2 «n:er~ ca::
Residence
1J'J1 j~~s~:.~ a .~~te.
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assasslnent Identifying Number I of Assessment
' tall Ia!/ a~,i a..i avi
941 12-31-7~ , - ~?-171°:5;?9 J, ~
9L,;7 12-31-"" 59-111 99 1:~. ; 1
E
Place of Filing
~ Clcrk or ~~ircul.t Cou:'t = , .
~ .:t. ;~.:cie Co.uzty Court::ouse Total „ .
~r~. Pier:,e, Fl. 331,;0
This notice was prepared and signed at ri. Pierce, Fl. , on this.
K
s
the ~ day of - - ,19 = •
S" nature Title
7n:•n , ~ Pi n
~ ( O: Certificate Ificer authorized l>y fa;v to fake ecknow/edpmants is not essential fo the validity d Notice of
~ F 17aa Ue o. . 26119, 195at, C.6. 125.) dK
e Part 1 -To be kept by recordtr~t~~~ ~~G~ _ fOf:Tt 668 tRev. 9.78?