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Fprm 688 ~ Fa Optbnal l/se By ecording OHice
ItiEV. 2-77) NOTICE OF FEDERAL T11X LIEN UNDER INTERN~L REYENUE LAMR
DISTRICT SERIAL NUMBER F~LED AND ~tECV~~t
Jacksonville ST LUC1E_COUMT`! F i`
G6;E.., :OItFe~
Pursuant to the provis~ons ot Sectio~s 6321. 6322, snd 6323 oi the Intemal Revenue R~cj~~~~; ~ n~~ ~
..ode. notice is here0y given that there have been assessed under the Inte~~al Reve- 17~
nue laws oi the United States against the folbwing-named taxpayer taxes lincluding ~~O t
~nterest and penalties? which alter demand for payment thereof remain unpaid. and ~
that by v~rtue oi the above-mentioned statutes the amount oi said taxes. together with
penalties. interest. and costs that may accrue in addition thereto. is a lien in favor of 3yp149
the United States upon ail property and rights to property betonging to said taxpayer.
NAME OF TAXPAYER
Antho3~r J. and Janis R. ~own
RESIDENCE .
3106 M3t'8Vi118 B~1.YCi
; Fort Pierce, FL 33450
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! UNPAID BALANCE
~KIND OF TAX TAX PERIOD ENOED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMEkT
; (a} Ibl (c1 (d) (el
101,0 1~.31-76 05-30-77 4~J3-4Q-l~65 ~16,ot~6.05
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PLACE OF FIUNG Glerk of ~ircuit trt
St. Lucie County Courthouse TOTAL a 16,ot,G.05
Fort Pierce~ FI. 3345~
WITNESS my hand at Fort Pierce~ Florida , on cnis.
the ~'h day of 'jan~'Y 19 7g
SIG E TITLE
Revenue Officer
1 TE. GKUf~cate oi off~pr autfqr by 1sw to take acknow~ecfqments ~a not esssnt~a~ to chs vabd~ty of Not~oe of Fsdsrsi Tsu L~en G.C.M
419.C.B. t950-t 125.)
PAR7 1- To be retained by recording offica Il ~i ~~j ~
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