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' (p~v ~~m~~~~) Notice of Federal Tax Lien Under Internal Revenue Laws
Distr9ct Serial Number For Opdor,ar ua~ br R~aaMnp Oll~w
FT. LAUDERDALE. FL 659098053
As provld~d br s~ctlons 632t~ 6322, and 6323 ot thf Intemal R~r~nu~ Cod~~
notic~ Is ~Iv~n that tax:s (Includln~ Intonst and p~naltl~s) hav~ b~n
ass~ssed ~alnst th~ icllowin~-nam~d taxpapK. D~mand tor payn~nt of
thit Ilabllity has bNn mad~~ but it nmalns unpald. Th~nio~~. th~n Is a Ilen
In favor of th~ Unit~d Stat~s on all prop~rty and rl~hts to prop~rty b~lon In~
to this taxpay~r tor th~ amount of thls~ tax~s. snd sddition~l p~nal~i~s~
int~nst, and costs thst may accru~.
NemeotTaxpeyerELLIS 8 SABRINA L ANDERSON
'90 JMf 31 P 2~24 0
Hesidence 7105 PENSACOLA RD 1 ~z~ 5~ ~ a~1
FT PIERCE. FL 34951-1529 ~ I~E~ ~~.~i:' n'--.-"
nou~~as ..;ix~r~ : ~
Sl Ll~~.lE '~t`!.NT~. ~
IMPORTANT RE~EASE INFORMATION: With respect to each asseasrr~ent listed below, unleu
notice of lisn is refiled by the date piven in column (e), thia notice shall, on the dey tollowinfl ~
such dete, opsrate as s certificats of release as definsd in IRC 6325(a).
I
i Ta~c P~riod Dat~ ol Lsst Dar for Unpald Balu~
; Klnd of Tax End~d Id~ntlfylnp Numb~r Ass~samont R~fliin~ oi Ass~ssm~nt -
; jaJ {b! !c) {d) (e)
f
f 1040 12/31f87 263-37-6093 OS/30/88 06/29/94 1952.14 '
! 1040 12/31/88 263-3T-6093 05/29/89 06/28/95 1151.46
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Ad Fee j St I.ucie Cc~~inty
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~ Clerk of Circu{t Co -
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Piace of Filing
COUNTY tOURTHOUSE Tota! ;
ST. LUCIE C(lUNTY 3103.60
F7. PIERCE. FL 53450
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f This notice was prepared and sign~d at FT. LAUDERDALEr FL , on this,
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~ the dsyof~JANUARY , t9 90 '
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u Signeture Title
MANAGER
' FOR ACS ! 65-01-0000 ,
(liOTE: Certilicate ot ofllcer authorizsd by iew to take ackn~wledflments is not esasntiel to the vali4ity ot Notlu of F~dsnl Tax lisn
Rev. Rul. 71-488, ?971 - 2 C.B. 409)
Form 888(Y) t~.,z-ea~
~ Part 1- Kept By Recording Oftice 3;;R~: ~ a' f~!'.~ ?
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