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~nEV- s-rn NOTICE OF FEDERAL TAX LIEN UIlDER INTERNII~ REYENUE lIUMS
OISTiiICT SEfilAl NUMBER ~ ~
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Pursuant to the provisions of Sections 6321. 8322, and 6323 oi the Intemal Revenue ~~~E n '
Code. notice is hereby given that there heve been assessed under the Intema! Reve- ~wp ~9 ( 04 PH
rtue )aws of the United States against the folbwing-~amed taxpayer taxes (including
interest and penaities) which after demand for payment thereof remain unpeid. and
that b~r virtue of the above-mentioned statutes the amount of said taxes. trgether with
penalties. interest. and costs that may accrue +n addition thereto. is a lien in -favor of
the United States upon all property and ~ights to property belo~ging to seid taxpeyer.
NAME OF TAXPAYER • '
y e John Jo:~nson a~•~i~:~~
RESIDENCE
1609 N• ~ 6th. Stxeet
UNPAID BAIANCE
KIND Of TAX TAX PEtiIOD ENDEO DATE OF ASSESSMENT IOENTIfY1NG NUMBEH OFASSESSMfNT
ia) (bl (c1 !dl le)
943 12-31-76 03-20•78 59-092j476 ~1,087.15 .
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PLACE OF FIUNG ~~t;~T COURT
ST• LUCIE COIINTY TOTAI S 1,OS7.1C~
FOitT P]1:RGE~ i~`LCI'2I]A
WlTNESS my hand at ~oY'1-~ , or? this.
the ~ 3~. day of ~~1 19 78 ~
. - ~aK~84 ~E
SIGNATIiRE TtTLE
Chief~ OfPice Branch
(NOTE: CKtA~ca;a oi officsr autfwrasd Dy Iaw to tslre acknowbdpnwnts n not ~sssntisl to tM vaM~t~r oi Noaa d F~ds?sl Taa l,M G C M.
28~19.C.8. 1950-1. t25.)
. PART 1- To be retained by recording offics
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