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F~ ~~~ DepaAment of the Treasury - Intemal Revenue Service
~R~,.September1978) Notice of Federal Tax Lien Under Internal Revenue Laws
DistriCt Seriai Number Fo+ ow-o~ai us. ~ w.~o.d~~ on~.
dacksonville, Florida 5168' f 2 ~ FEB 13 !IM i~
FILED~c FfCORDED
As provided by sections 6321. 6322, and 6323 of the Intemal Revenue Caie. S~,~uC1E CGUt~TY.ft A.
notice is given that taxes~(inctuding interest and penaities) have been assessed ~RERK C RCU1 OURI ~
against the following-named taxpaye~. Oemand for payment.of this liabiliy has
been made, but it remains unpaid. Therefore, there is a lien in favor of the Unitedp` ~'~" ~"'~ ``~- ~~---
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 516~2
accnie. • ~
Name of Taxpayer Climmie Hill
dba Clim Hill Plastering & Stucco
Residence 1413 G. Terr.
Fort Pierce~ Florida 33450
Kind of Tax Tax Period Ended Date of Assessment
(aJ (D) (c)
941 09-30-79 o6-i6-8o
941 12--31•-79 03-31-~
941 03-31-80 06-09-80
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Identifyiny Number
(d)
59-1~769
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Place of Filing
Clerk of the Circuit Court
St. Lucie County Courthouse
Fort Pierce, Florida
This notice was prepared and signed at Fort Pierce, Florida~
the 12th ~y~ February.~g 81
Unpaid Balance
of Assassment
'. c•i
~•~S
~ 1~647.65
1,781.00
Tota~ i 3~ 9i8.70
~
, on this,
~ Signature Title
~.~ ~, , / ~/_ /~i~ Revenue Officer
~l'~'/ i / ~(/~
MotO: Certifiute ol dlicer ~ufhorized Dy law fo faks ~cknowleopmsnfs b. t~tl f0 tha validlty W NotJc~ M
! FWenl ~~x Usn O.C.M. 2611~. 1~541. C.A. 1?5.) ~IR~~ ~~E~'~]~
~ Ps~t 1, - To be kept b~- ~ec~dirq oftlce: `h Form 668 (Rev. 9-78)
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