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c:,r, ~ Dpartm~nt ol tM Trusury ~ Mt~rnal p~v~nw S~.v~ce .
SF~~ ~9~~ Notlce of Federal Tax Lfen Under Internal Revenue Laws
D~strfct Serial Number
'710441 For Oplional Use by Recoiding Olfrce
~X Jacksonville, Fla.
- ~ ,~J 13 P 1.3U ~
As provid~d by sactiorts 6321, 6322, and 8323 of tM Intetnal Revenue Code, notice is 9iven
tt~at taxes(includinq interest and penafties) have been assessed aflainst the fol~owinq•named
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taxpayer. Dsmand (or payment of this liabiiity has been made, but it remairts unPa~d. RpGER F~_ ' _
Tharetore. tt~ere is a lien !n favw ot the United Statea on all property and rights to propsrty fj. LUCIE ~
belonpinfl to this taxpayer for the amount of these taxes, and additional penalties, interest,
and coats that may accrue.
il
-U'~ of'.xa,'"` 710441 ~
John W. Rohrback
I?a s idertce
1906 S. 8th Street
Ft. Pierce Florida 33450
I#~1PORTANT RELEASE iNFORMATiON-With respect to each assessment listed ~
:?elaw, unless noiice of lien is refiled by the date given in column (e), this notice
shall, on the day following such date, operate as a certificate of release as de-
;ir,ed in IRC 6325 (a). i
3ax P~riod Date of Last Day for Unpald Balanoe
Kind of Tax End~d Id~ntifylrp Number Ass~ssment RsfiHng of Assessment
N) (~l (d1 (~1 (n
1040 8412 217-24-5391 06-10-85 07-10•91 2,7E0.93
s-; ace of fiHn9
Clerk, Circuit Court
St Lucie County T~ : Z,780.93 _
Ft, Pierce~ Florida 33450
r~otice was prepared an~ siyned at Melbourne, Florida on this,
_ 11 day of June ~9 85
~'y~~lUfe
Title
Revenue Officer
' (NOT . Certificate of o icer uthonred by law to take acknowledgements is not essentiai to the vatidity of Notrce of Federal
7ax Lien Rev Rul. 71-46&, 1971-2 C B. 409.) ftx P~GE Mn
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tJtJ.r r:.. 5qA ~ z
Ren 1- TO be ke~# by rec~~t9g pff~ -
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