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Ferw 683 U. S. TREASURY ~EPART6iENT - iHTERHA~ REVENUE SER'/ICE Fa Op.on~l Use By R«o.d.nq pl~c•
~ REv. &671 iiOTitf Of iEDERAI TAX iIEN UNDER INTERiiAI I~Ei1~NUE IAwS - - - - - - - - -
OISTRICT SERIAL NO.
Jacksoaville - ~ g~~~~A AND R~GORDED
Pv.suon+ to el+e provisiw?s of Sec~~ons 63~1, 6322. ond 6323 of the In!err.a! Reve• +~-Ue+E coUNYY. F+(,A.
nue Cod~. notic~ is h~rebr given thot there hov~ betn ossess~d unde. the In~er~ol RF e~~~ ,/Et~~F~En
R~v~nw ~ows of th~ U~ited Stotes oyoinst the follorviny•nomed toxpayer, loxes p
(includin9 int~r~st ond penolties) which o(ter denwnd for poyment thereof reroin ~~A ~Q1W3
unpoid, and thot by v~rtu~ oi the above-m~nt~on~d stotut~s the omount of soid toxes, ~ Jlr~ 2l~ • OL
top~th~r with p~nalti~s, i~t~r~st, ond costs thot moy aecrue in oddition tl~er~to, is PN 7
• a lien in fovor of the United Stotes upon oll property ond riphts to property b~lony- ~
' iny to soid toxpoyer. ROGEI; (~B~;RAS
NAMlE OF jAXPAYER CLERK CIRCUIT COURT'
James H. & Sarah Atkisson
RESIDENCE
27.5 G82'd617~8i AV~911118 -
~ FOI''ti Pi@PC@ F101'~C~B
CIASS OF TAX UNPAID BALANCE
(Tox Return Fo~m No.) PERIOD ENDED ASSESSMENT DATE 1DENTIFYING NUMBER OF ASSESSMENT
(o) ~b) (c ) (d ) )
io4o i2-31-65 8-25-67 l~io-o7-5570 ~i4o.49
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> PLACE OF FILING • C18T~C~ C~TCIl~t, COlll"t
~ TOTAL Z ~~•49
; St. Lucie County
= Fort Pierce~ Florida _
WITNESS my hand nt West P~ Beaoh~ Florida , on this,.
the~_day of J3~,~_,19Ei9
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(NQTE: C~rtificoa ef oFfic~r wthoris~A br luw to tak~ xkn~wl~dyrw~ms is not ~s~~ntial ~o tM veliditp ef Netie~ ~f F~d~rol T~ Li~n G.CaA.
~.,9.~.8. „sos~. ~K178 ~2852
~ART 1 To b~ nroin~d br ncording office -
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