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tRfv. z•»~ NOTICE OF FEDERAL TAX LIEN UNDER INTERNA~ R~ii~lidE Ll1ii`3
OISTRICT . SERIAL NUMBER ~~g~~~~~~A.
Jacksonville ROC R ~0~ R?s
~ ClER!( ClRGUIT COU "
Pursuant to the provisions of Secttons 6321. 6322. and 6323 oi the lnternal Revenue ~ vr~tflEO `
Code. notice ;s hereby given that the~e have been assessed under the Internal Reve- Q
nue laws oi the UR~ted States against the folbwing-named taxpayer taxes tinctuding ~AN ZT 3 nZ PN ~~0
~nterest and penalties) which after demand fa payment thereof remain unpaid. and
that by virtue of the above-ment+oned stetutes the amcwnt ot said taxes, together with '
penalties, interest. and costs that msy accrue in addition thereto. is a lien in tavor of
che United States upon all Rroperty and rights to property bebnging to said taxpayer.
MAME OF TAXPAYER
Randy N. and Frankie J. Smith
RESIDENCE
135 W. Glen Drive
~ort Pierce, FL 33450
uNPA~o sauNCE
KINO OL TAX TAX PERiOD ENDEO OATE Of ASSfSSiNENT IDEMTIFYltVG NUwI$EH OF ASSESS~AENT
ts) (b) ld ld) l~1
1040 12-31-76 OS-O8-77 429-88-4391 $1,490.69
1040 12-31-75 05-23-77 " 1,241.14
PLACE OF FILING Clerk of CircUit CoUrt
St. Lucie County Courthouse TOTAL S 2,731.83
Fort Pierce~ FL 33450
WITNESS my hand at Fort Pierce, Florida , , on chis.
~ 23rd day of Januax~r _~g 78
SIGNATURE 1 TITl.E
^ j Revenue Officer
'll
(NO C~tfiat~ 01 o autlwraW by ~aw m u1a~ sckno~wlsdpm~nn n not ~aasnUSl to cM vabdty ol Noucs of i~d~nl Ta~c L»n G.GM .
28I19. C.B. t950-t. 125.)
PART 1- To he rstained by recording office