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~REV iei~? NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL REYENUE LAWS
OISTRICT SERIAL NUMBER
Jacksonville
Pursuant to the provis~ons of Sections 6321. 6322, snd 6323 oi the Intemal Revenue
Code, notice is hereby given that there have been assessed under thb Intemal Reve-
nue Isws oi the United States against the folbwing-named taxpayer taxes (including
mterest and penalt~es) which after demar~d for payment thereoi remain unpaid. and
that b~? virtue ot the above-mentioned stetutes the amount oi said taxes. together with
penalties. interest. and costs that may acc~ue in addit~on thereto. is a lien in favor ot
the United States upon all property and rights to property be~ong~ng to said taxpayer.
NAME OF TAXPAYER
Karl H. Keller
Keller's Texaco ~
RESIDENCE
1826 Orange Avenue
Fort Pierce FL 33450
UNPAID BAIANCE
KtND OF TAX TAX PERIOD ENOED DATE OF ASSESSMENT ~OENTIFYING NUMBEH OF ASSESSNIENT
lal lb1 (cl WI feT
~ 941 03-31-78 06-19-?8 59-1299778 530.
i 941 12-31-77 05-22-78 " 9~•~
~ 941 09-30-77 05-22-78 " 1~189.30
~ 941 03-31-77 10-10-77 l~Ollo27
3 941 03-31-76 08-22-77 714.77
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~ P11~?CE OF FlLING Clerk of Circuit Court
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~ St. Lucie County Courthouse TOTAL $ 4~~~•24
Fort Pierce~ FL 33450
~ WITNESS my hand at Fort Pi~uerce,~ Florida . on chis.
the 7th day of Auaust 19 78
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SIGNATURE TITLE
Revenue Of f icer BOOX ~c7~ PAGE
( TE: GrtA ta of oH~ aut Qsd by !aw co ab scknow~sdymsnts n not sssentist to tM vabdrty ol Notiu d FedKa1 Tsx l~a+ GC.M
- 19. C.B. 1950- t. 12 51 ~
_ PART t- To be retained by recording office
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