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Notice of Federa! Tax Lien Under interna! Revenue Laws }
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District Seria) Number FaDpdoeNlb~OrR~ootdMrpOf~o~ '
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FT. LAUDERDAIE. FL 659098021 '
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As pr~rid~d by ssctlons 6321~ 6322~ and 6323 of th~ intemal R~v~nu~ Cod~~ -
notic~ Is ~ivfn that tax~s (Includin~ Int~nst snd p~naltl~s) hav~ b~n ±
ass~ss~d a~~inst th~ followln~-named taxpayK. D~mand tor paym~nt of ~
this Ilablllty has b~en mad~~ but it r~malns unpald. Th~r~fon~ thtn Is a Il~n ~ ;
In fsvor of th~ Unit~d Stat~s on all propart~? and ri~hb to p~op~rt~? b~lon~ln~ ~
to thfs taxpay~~ for the smount af thes: tax~s~ and addltlonal p~nal I~s, ~
Int~n~t~ and cosb that may sccrue. ~
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NameofTexpayerJEFFREY N g TRACY 5 BEDOLLA ~~i~z~J91
"90 JAN 31 P 2:24 a
Residence 1322 ROANOKE ST ~YI -
PORT ST LUCIE. FL 34952-4111 ~ . i
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ROUG~ a5 c~ixGN : ~ ~
S1 LUr:~~ :~'i.'NT , . '
IMPORTANT HELEASE INFORMATION: With respect to each aaseaament liated below, unless " ~
notice of lie~ ia refiled by the date yiven in column (e), thia notice ahall, on the day followiny ~ <
, such date, operate u a certificats of rNeaae as defined in IRC 8325(a). ~
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~ Tax P~rlod Dat~ of l.sst Day tor Un~ld B~
~ Klnd of T~x End~d Id~ntlfyln~ Numb~r As~ssm~nt R~fliln~ oi Ass~ssen~nt ~
f (a) (b) (a1 (d) (B) (q ;
a ~
; 1040 12/31/86 373-84-7420 12l14/87 O1/13/94 2583.~7
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~ Rec i'~. _ - ~ tzovar.~s DDCON ~
Ad Fas S S!. [.ucie Cc+unty ~
D Ta~t Clerk of Circnit Co ~
Int ax = By ~
~ D~y G7.~k
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~ Place of Fiiing
COUNTY COURTHOUSE Tota1 s
~ ST. IUCIE COUNTY 2583.37 '
FT. PIERCE• FL 33450 ~
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~ 7his notice was prepared and signed at ~T. LAUDERDALEr FL , on thls,
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~ the 22~Q dayot JANUARY , 19 9~ '
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~ Signature Titie
MANAGER
O4 ACS 65-01-0000
lNOTE: Grtific~te of oHicer ~uthorized by !~w to take acknowlsdpm~nts i~ not esse~tial to th~ validity of Notlu N FWsnl Tuc Il~n
Rw. Rul. 71-488. 1971 - 2 C.B. 409) Form ~~Y~ (R~v. 12~6) ~
4 Part 1- Kept By Recording Offico dOLK ` ~
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