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Form ~C~ Department of the Treasury -Internal Revenue Service
cRev.Seaember197a) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For optio+~ar Use by Rscwding Office _
JackaomTille 4~ 1960 f E8 22 AM ~ ~ 8
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code. fflEEO ANG REfAllut.0
St UICIE COUHIY.FLA.
notice is given that taxes (including interest and penalties) have been assessed ~p6~R POITRAS
against the following-named taxpayer. Demand for payment of this liability has CLERK ClaCtIIT COUR1„ /f
been made, but it remains unpaid. Therefore, there is a lien in favor of the United ~tjltg YERtFIFO
States on alt property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties, interest, and costs that may 4,~~
accrue.
Name of Taxsspvvayer -
_ T~~~~R~~al~~tlter
Residence Stuart, Florida 33494
Kind of Tax Tax Period Ended -Date of A~ssrnent Identifying Number of~~t
(a) (b) (c) (d) (e)
94I O1 Ob/30/78 12/17/79 59-167b755 5,567,69
941 O1 09/30/78 11/19/79 " 5,070.b5
940 10 12/31/78 09/17/79 " 403.14
941 O1 03/31/79 11/19/79 " b,355.1b
941 O1 Ob/30/79 _ 1017/79 " b,872.17
941 01 09/30/79 - II/13/79 b,203.30
Place of Filing
Clerk, Circuit Court
St. Lucie Countq ~ Total =
Fort Pierce, Florida 33450 30,472.11
This notice was prepared and signed at West Palm Beach, FL ~ . on this,
the b day of Feb. ,19 80
Signature ' J~''~ ~~~~~~L~~%~. Title ~ ~
i/ r
Matthew Marcus Revenue Officer
Mae: Csrtiricari of oRicer authorized by iar ro rake acknowlealyments b nor essential fo tA• r.ridity o1 Notice o1
Faderaf Tar Lien O.GAl. ?tjI r9, t95Or, C.B. 125.)
oe.i 1 _ Tw hs Ironf by rannrdinn e~Mlwa Frxm E'iRR fRav CL7R1