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F~ ~~~ Department of the T~easury - internai Reve~ue Service
(Rev.September/979) Notice of Federal Tax lien Under Internal Revenue Laws
District Seriel Number Fo. ov~~o~.i v:• nr Roawar.w ore~e
- 515645 ~ser~ ~r ~ 05
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As provided by sections 6321. 6322, and 6323 of the Intemal Revenue Cocie.. 51.1ut1[cOUHixF1A.
notice is given that taxes (including interest and penalties) have been assessed ROGER POITRA5
against the fdlowing-named taxpayer. Demand for payment of this liability has ~IERK CIRCUti CCJRTD
been made. but it remains unpaid. The~efore. there is a lien in favor of the United `~` ~"' ~'``' '~' T
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St~tes on all property and rights to property belonging to this taxpayer for the Sl~s
amount of these taxes. and additional penalties. interest, and costs that may
accrue.
Name of Taxpayer
.IA?~S ~ ROSIE LSS HcDUFFIB
Residence
1803 N 41st S~tSET FOltT PIBRCE; FL 33450
' ~ Unpsid Bala~ce
Kind of Tax Tax Pe~iod Ended O~tte d Asses~ment Identifytn~ Number d Assessment
[a) [O) (c) (d) f~)
1040 12-31-78 OS-28-79 249-58-2293 228.27
1040 12-31-79 OS-26-80 " " " _ 229.26
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Place of Filing
CI.BRIC OF T~ CIR~CUIT COURT
ST LUCIE COUNTY COIIEtTIi0U8B
FQtT PIERCE~ FL 33450
This notice was prepared and signed at FAtT PIEBCpy Fi.~-
Totsl = 457.53
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the 26 day of JANW~R7~ ~19 ~1
Signature~/'~ Title
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~ hW RSVENIJS OFFICB~
Mai: c«rrflc.r• a oaxs~ avrnon:.a Dy a. ro r.k• .crnowredpm.nrs b nor ~ss.nrrd ro rn. va~wwry a Ha~c~ a
\ F r.~ u.n o.c.M. ze~». »sar. c.s. ~~a.) ~~34~ ~t(~~~
~ Psrt 1- To be k~t b~- recordirp_ Fcxm 688 (Rev. 9-781
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