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p~A~TMgIT pF TME TIIEAS~ - INTgrYll IIEVf1M~ SBMCE fo~ Optana! Use By Recording ONice
~eEV.iei~~ . NOTICE ~ FEDERAL TAX LIEN UNDER INTERMAI i~YENUE LAMR
OISTRICT SERIAL NUMBER
Jacksonvi
Pursuant to the provisions ot Sections 6321. 6322, snd 6323 of the Internat Revenue
(`,ode, not~ce is herebY 9~ven that there have been assessed under the Internal Reve- 4~~,
nue Isws of the United States against the folbwing-named taxpayer taxes (including
interest and penalties) which aher demand for payment thereof remain unpaid. and
that by virtue oi the above-mentioned statutes the amount ot said taxes. together with
penalties. interest. and costs ~hai may accrue addition thereto. ~s a lie~ in favor of
the United States upon all property and rights to propertl? belon9ing to said taxpayer.
NAM OF TAXPAYER
William E. and Nar~cy Davis -
RESIDENCE
~ 3906 t7ceechobee Road
Fort Pierc F
UNPAID BALANCE
KINO OF TAX TAX PER100 ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASS eSSMENT
Ia! ib1 (d (dl
1040 12-31-76 0~-30-77 261-66-~82~ ~ 2b4.86
~ 104G 12--31-77 05-2~i-78 " 473.05
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~ CIERK CtRCUIt COt1RT
P vF a•~!ED
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, A~~ 9 9 3s AN'78
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~ 4129~l~
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~ PLACE OF FILING Clerk of Circuit Court
~ Lucie Co?u~ty Courthouse TOTAL S 737.91
~ rorL Pierce~ FL 33450
~ WITNESS my hand at Fort Pierce Florida , on chis.
- ~e 3rt3 day ot Au~~ust _ 19 78
TITLE -
SIGNATURE
\ keven~e Officer gppK292 FACf
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; (NOTE G~dficssu of offKe. taraed br ~sw to tsb scknowlsdpmsnts is not eus~tisl to tt» vabdity ot Notiq o1 Federat Tnc tisn G.C.M
~ 28419. C.B. 1950-t. t25.1 -
~ART t- To be retained by recording office
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