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ppARtyHIT p~ T1~ T1IEASIM~ - iNT91N11t NEYNIUE SE~vItE Fw OPtana/ Use BY Recording ONite
tp~.iei~? NOTICE OF FEDERAL TAX LIEN UNDER INTERNl1l REYENUE lA1NS
OISTRICT SERIAL NUMBER
3ackso~ville
Purwant to the provisions ot Sections 6321. 6322, end 6323 oi the Intemal Revenue ~
Code, notice is hereby give~ tfiat there have been assessed under the Intemal Reve-
nue laws ot the United States against the following-named taxpayer taxes (including A ~
interest and penalties? which after demand for payment thereof ~emain unpaid. and ~~a71~
-chat b~r virtue of the above-mentioned statutes the amount oi sa~d taxes, together with
penalties- interest. end costs thet may sccrue in additwn thereto. is a lien in tavor of
the United Stetes upon all property end rights to pr~operty belonging to te~d taxpeyer.
NAME OF TAXPAYER .
i~aliace 8 Mna H. iyles
RESIDENCE
32~3 Kingsley ~::-ive
Fo:t Yierce rL 3345u
UNPAID BAIANCE
KIND Of TA% TAX PERIOD ENOED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lsl Ib1 (c! ld1 lel
; 1t~40 I2-31-77 Grr2~i-78 2~-38-i393 ~ 715.G5
E I~t7 I2-31-75 11-21-77 " Ij26b.82
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Y PLACE OF FILING ~lerk ~f Circuit i,oari
~ 5t. Lucie CGUntjr COUrih~use TOTAI S I'~2'~~
Fori~ Piexce~ -FL 33450
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=rs WITNESS my hand at For t Pi Prc~~ F1 ~T; r~a , on th~s.
~ the 24th day of 3uly . 19 7A -
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~(NpTE: C~trf~cs:a o~ oN+cs~ autl~o+aed by ~aw to take scknowkdyrt?e~ts n rat es.~ent~al to ths val~diy ol Notwe of F~dsral T~x ixn G.C.M
~ 26119. C.B. 1950-1 1251 Q
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PART 1- To be retai~~ed by recording otfice p~CK ~ FA~E ~
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