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~REV.6t-~i~? NOTICE OF FEDERAL TAX LIEN UNQER INTERNAI I~EYEMUE LAWS
DISTRIC? SERIAL NUMBER ~
Jacksonville
Pursuant to the provisions of Sections 6321. 8322, snd 6323 of the Internei Revenue
Code, notice is hereby given that there have been assessed under the Internat Reve-
nue Isws oi the United States against the folbwing-named taxpayer taues iincluding
~ntere~t and penalties) which aher demand for peyment thereof remain unpaid, ar.:i
that b~r virtue oi the above-mentioned statutes the amount oi said taxes. togeths: with
penalties. interest. and costs that may accrue in addition thereto. is a iien in favor ot
the United Stetes upon all property and rights to property belongmg to said taxpayer.
NAME OF TAXPAYER 4~~~~
Eugene J. a~d Mn P. Horr,
RESIDENCE
i786 iNestrnoreland Blvd
Port St
- UNPAID BALANCE
KIND OF TAX TAl( PERIOD ENOED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lal Ib1 Icl Idl !el
, IG~~ 12-31-76 07-2~3-77 G8S-18-3187 $681.71
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s~ PLACE OF FILING Clerk of CirCuit COUrt
LuCie Coiu~ty COUrthOUSe TOTAL S 6$1.71
~ ' ~t Pierce~ Florida 3:f4;,0
~ WITNESS my hand at Fort PierCp~ Flo*~da , on ch~s,
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~ the 2~h day of .Tuly . 19 73
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~ SIGNATURE TITIE
1 Rever~ue Officer
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TE: Cw~~wt + ~ off~ce~ auth«aed ~aw to tske acknowlsdpn?e~ts ~s not essenas? to tbe vspdty of NotKS d F~d~rsl Tu Ven G.C.M
6419. C.B. 195G . 125.1
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