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Forth OepartmeM of the Treasury - lntemal Revenue Service
(Rev septembellsiTa) Notice of Federal Tax Uen Under Internal Revenue Laws
DiStrlCt - Serial Nt)mber Fo.Optiaral Us• by a•conlirtp txtlc•
JACB90NVILT~ ~~OS~ ~ NAY 20 ~ ~ 04
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Gode. ~ -
notice IS given that taxes (indttding interest and penalties) have been assessed '
against the fdlowing-named taxpayer. Demand fasf payment of thig 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 ~ - ~
amount of these taxes. and additional penalties, interest. and costs that may ~
accxue. 4~~'7~OE~$
Name of Taxpayer
I C F Corporation a corporation
Residence
2700 Incustrial Ave.
Ft. Pierce, F1. 33450
- urwaid B
Kind of Tax Tax Period Ended Dee of Assessment Identlttling Number of Assessment
la) tb) le7 l~ -
94i 09-30-78 07-09-?9 23-2025168 425.80
941 09-30-79 02-11-80 23-2025168 1,710.71
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~1Fergg of Circuit Court
s St. hucie County Courthouse Totsl = 2,136.51
P Ft. Pierce, F1. 33450
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This notice was prepared and signed at Ft. Pierce, Fl. , on this,
the 7th ~y of Ma<y ,19 ~ .
Signature Title
Sal er Revenue fic
Motec ' lcat• oHic•r . •d by law to r.k• aekno+rtdparn[a M hat •ts•ntid ro t1+• ralldNy o/ Natlc~ 01 .
Fad•+a/ O.C.M. 2041 1 1, C.9. tYa.) ~
_ ~t~art 1 ~lTo bs ~ by r!soorditq.,~ P t=orm 8da (Rev. 9~T8)
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