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- -FOfm GGH DEPARTMENT Qf THE TREASURY-IMERNAL REVENUE SERVICE ~ ~ Fo~ Oplionol Use By Recording Office ~
. ~R~y. ia~~~ NOTICE OF fEDERAI TAX LIEN UNDER INTERNAL REVENUE lAW3 - :
DISTRiCT ~ SERIAL NUMBER - ~ - ~ -
• . JACKSONVILLE . ~~EE A t~
- Pursuant to the rov~sion f t ~"~"C' ~
p s o Sec ions 6321, 6322, and 6323 of the Internal Reve- C~.~~X ~~~C ~
nue Code, notice is hereby given ihat there have been assessed undar the Internal RFED D y~''R~Fj~Q ~ #
Revenue lows of the United States ogainst the following-named taxpayer, toxes (includ- ~ ~t _
ing interest and penolties) which aRer demand for payment thereof remain unpaid, and '
_ that by virtue of the above-mentioned stotutes the amount of said taxes, together with r~ ~
. penalties, interest, and cosi~ that moy accrue in addition thereto, is a lien in favor of ;
the United Stotes upon all property and rights to property belonging to said t~xpayer. - ~
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- : NAME OF TAXPAYER . ~ a310j~'8~i ~
~ _ ROYCE WADT LIPPARD . - -
- • LIPPARDS MASONARY COPiPANY ~ ~ - ~
RESIDENCE ~ - - ~ , ~ -
3113 Ri~rer Dr. - ° - } -
- ~ Ft. Pierc~, FL 33452 _ _ - ~
~ ' ` ~ _ UNPAID BALANCE f
. KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER . OF ASSESSMENT ;
(a) ~ (b) ~ (d) [e) - ? . ~
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° 941 6-30-74~ 2-10-75 59-13728~6 1,750.79 -
~ 941 9-30-74 2-24-75 59-1372806 836.14 ~
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PLACE OF FIUNG CLERK, CIRCUIT COURT - • ~
ST. LUCIE- COd1NTY TOT~L ~ 2,SSb.93 i
FORT PiERCE, FLQRIDA ~
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` WtTNESS my hond at _ ~est Pa~tn BeaCh~ FL . - -
. , on this, ~
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the 9th day of June ; i9 75 - ~ . _
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- ~ SIGNAT T1TLE " ;
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_ ~ 's B _ - .
' ( O: Certificote of officer authorized by luw to take acknowiedgments is not essential to the validiiy of Notice of Federot Tax Lien G.C.M ~
~ 2641Y, C.B. 1950-51, 125.) , O R 24Q ~ 3
- PART 1-To be retained by recording office BQQK PAGE ~W
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