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pp~i1~T pF t1~ T~E~SIM~r - II(i~Mt I~YgR~ SE~N~E Fo~ OP=rona/ Use B~ Recordin9 OHice
~R~.~i~~ NOTICE OF FEDERAL TAX l1EN UMOER IMTERNAI REYEMIIE IAMR ~
DISTRICT SERIAL NUMBER
Jackso~ville
Pursuant to the provisions of Sections 6321. 6322, and 6323 oi the Intemai Revenue
Code, norice is hereby 9iven that thefe have been assessed under the Intemal Reve- .
nue laws of the United States egainst the following-named texpayer taxes (including
interest and penalties) which after demend ia peyment thereof remein unpaid. end
that by virtue oi the above-me~tioned statutes the amount of said taxes. Logether with
penslties. inte~est. and costs that may eccrue in addition thereto, is a lien in favor ot 'r~~
the United Stat~ upon all property and rights to p~operh? be~on9~n9 to seid taxpayer.
NAM OF TAXPAYER
Jim an~] Florencia Po+vell
RESIDENCE
3~0~ Avenue P
Fori Pierce~ FL 3"s450
IfNPA1D BAIANCE
KIND OF TAX TAX PERIOD ENDED OATE OF ASSESSMENT ~DENTIFYING NUMBER Oi ASS` SSN~ENT
Is) lbl (cl (dl
1040 I2~-31-77 OS-22-78 457-24-4481 $ 2,30S.4o
f AM~R~ ~AA 0
=T.IYGE CO~M~11 LA.
1lOCER POITR~
' Ct.E?•K Ct~CU1T CO AT
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PLACE OF FILING
~ Clerk of Circuit Court ~
~ St. Lc~cie County Courtno~se TOTAL S 2~008.46
; Faxi Pierce~ FL 3345G
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WITNESS my hand at FO~ t F'ierCe FlOZida , on this.
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q~ 2~~th day of JUly 19 78
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` SIGHATU TtTLE
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~ (NOTE: te oi officer authoraed DY law to take adc~ow~sdqrrN~ts is not essenu~l to tt~s vabdrty of Notka ot FedKal Tu l,en G.C.M
i'-' .
~ Y6419. C.B. 1950-1. 125. f
~ R~R~29
~ PART 1- To De retained by recording office ~ F•"+~E ~
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