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Fotrn Department of the Treasury -Internal Revenue Service
(Rev.septemher1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Optional Uss by Recording office
JACKSOi!IYILLC ~ ~~5~ ~ ~ 10
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been .assessed _
against the following-named taxpayer. Demand for payment of this liability has
been made. but it remains unpaid. Therefore. there is a lien in_favor of the United
States on all property and rights to property belonging to this taxpayer for the 4~a~4
amount of these taxes. and additional penalties. interest. and costs that may
accrue.
Name of Taxpayer
Triple A Enterprises, Inc., a corporation
Residence
664 Bilker St.
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of As:esatnent
fa) (b) le) 1d) (e)
941 ?812 06-25-79 59-181 5~+ 540.10
f
Place of Filing
Clerk of Circuit Court Tolaf ; . 5!10.10
St. Lucie County Courthouse
Ft. Pierce, F1. 3150
This notice was prepared and signed at ~ • Pierce. Fl. , on this,
theme
d71._ day of April .19 80.
Signature Title
Mote: Cent • icer suthor by Mw ro rake acknowledgments a not essential ro the validity a/ Notice of
Federal Tes U.n C. . 26a1e. tg . C.B. 125., ~~trnn~~
Part 1 To be knot by recording ~ P~ ~~am 668 (Rev. 9.78)