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' Fo~m•~i68 ~ ~EP.Lef~:J7 OF iNE TREASURY-fNTERNAI kEVtkUE SERY.CE ~or Optionol lise 8y Reco?ding OfF~:e
. {REV. 10•71} liOTlCf OF FEDERAt YAX 1fEN UPlDER tNiE.QIdAt REVENUE UtIMS
FlLED di<<~ RE~{~~nEO ~
D1S7RICT ~ ! SERIAL NUh16~R -ST. LUCIE GOUhTY FIA.
- JACKSGNVILLE ~ ~ ~ - Race~ ~v~TRas ~
- _ ~ CI~RK C:RCUlT COt1RT +
~ Pursuan! to the provisions of Sections 6321, 6322, ~nd 6323 of ihe lnternol Reve- ~``'n~~ YfF;I~~Er~~~r _
nue (:ode, notice is hereby given that there have- been osseased under ihe Inier~al y
_ - Revenue lows of thQ United States ~~ainsl the following-r~arned taxpayer, taxes (indud- ~7ar I I~~ p~ I~1-
ing interest and penalt~es) which after demand for payment tf~ereof remain unr~oid. and
tflot by viitue of fhe abov~menlioned statutes the amovnt of said taxes, tor~~lher w;th - Rjn
penolties, ~nterest, and costs that may accrus in additian thereto, is a lien in favor of 4.7i.~~~'~~
- the United ~tates upon ~all ,p~aperty o~~d rights to property belonging to said taxpo~er. _ _
~ NAME OF TAXPAYsR - _ ! , ; ,
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- James L. Tloore - ~
RESIDEPltE _
~O~s ~l ifth Streefi - . . ~ ^
_ Ft. Pierca,~ FL 33~50 - ;
_ ~ UN?AiD BAIANCE
_ ` KIND OF TAX TAX PERIOD tNDEQ DAT'~ GF ASSESSMENT IDENTIFYING NUMBER OF ftSSES~~t~NT
. ~6) (c; (d) je) .
_ 1040 12-31-72 ~ OS-14-73 137-18-9791 840.13
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_ Piac~ of ~~~~Nc ~ ~ . - _ ~
. CLERtC, CIRCUIT C-OURT . _ - ~
; S~'. LUCIE CC~~f~TY _ to7.a~ a- 84U.13 .
~ ~ORT FiERCE, FLORI~A . - - ' ` ' -
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. t WITNESS my hand nt 41es t Pa n? B~ch. FL _ on tfiis,
tne 28th day of AP~['i1 ~ j9 75 - - _
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_ ~ SICNATU TiTLE
_ ~f.~t.t..ti,~, - - -
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- ~Cre~~~ Matlager
(t~ E• ertificate of oft~cet c,uthorized by iaw to take acknowiedgments is nol essent~ol to iFra va!idity of Nolite of Federoi Tax tien G.C.M
_ 2641 , C.B. 1950-51, 125.) - '
~ - PART 1- To be retained by recording office ~O~K
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