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~R~v.i6in NOTICE OF FEDERAL TAX IiEN BNDER INTERNA~ REYENUE LA111R
DISTRICT SERIAL NUMBER
Jacksonville
Pursuant to the provisions oi Sections 6321. 6322, snd 6323 ot the Intemal Revenue
Code, notice is hereby given that there have bsen ssseased under the Intemal Reve• A~~~~
nue Isws oi the Uniced States aga~nst the following-named taxpayer taxes (including Y
~nter9ft and penalties) which aher demand for payment thereof remain unpaid. and •
chat b~r virtue of the above-mentioned statutes the amount of said taxes. together with
penalties. interest. and costs thet may sccrue in addition thereto. is a lien in favo? oi
the United Ststes upon alI property and rights to propeitY belonging to said taxpayer.
NAME OF TAXPAYER
Karl H. and Florence Keller
RESIDENCE
2609 Citrus Avenue
Fort P' r FL 0
UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIfYING NUMBER OF ASSESSMENT
ts1 Ib1 icl ' Idl Ie1
1040 12-31-76 ~5-30-77 265-58-9824 $1~246.13
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~ PIACE OF FIUNG Clerk of Circuit Court
~ St. Lucie County Courthouse TOTAL S 1~246.13
~ Fort Pierce~ FL 33450
WITNESB my hand at Fort Pierce~ Florida _ . on this.
~ 7th day oi August _~g 78
~ SIGNATURE TITLE
~ Revenue Officer
~ g~oK 292 P~G~ 18
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1 TE GrtA ta o~ officer su ed by law to ake +ckrww~ed9+nsnts n not ssssnt~al to ths vaMd~ty ol Not~u o( Fsdnsl Ta~c l~x? G.C.M.
_ 419. C.B. 1950- : 125.1
VAiiT t- To b4 ratained by recording office
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