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~REV. s-»~ NOTICE OF FEDERAL ~AX LIEN UNDER INTERNAL REYENdE LAMR fILEO AMD RECOROED
DISTRICT SERIAL NUMBER ST. LUCiE COUMTY FIA.
Jacksonville • Qe~~a ~^iTq~tS
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Pursuant to the provisions o1 Sections 6321. 6322, snd 6323 oi the Internal Revenue ~
Code. notice is hereby given that there have been assessed under the Intemal Reve- SEF ~ 1~ 2's2. PM ~~8
nue Isws of the United States against the tolbwing-named taxpayer taxes -(~ncluding
~nterest and penalties) which aher demand for peyment thereoi remai~ unpaid. and
that by virtue oi the above-mentioned statutes the amount of said tsxes. together with
penalties. interest. and costs that mey accrue in addition thereto. is a tien in iavo? of ~
the U~ited States upOn all property end nghts to prOperty belonging to se~d *.axpeyer. 41~102
NAME OF TAXPAYER -
Bugene ~ J. Horn~ s~.. ~ 41'7102 _ .
RESIDENCE
1109 North Federal Hwy.
Fort Pierce~ Fla. 33450 '
UNPAID BAIANCE
KIND OF TAX TN( PERIOD FN~ED ~ATE OF ASSESSMENT IDENTIFYING NUMBEii OF ASSESSMENT
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i 941 03-31-7$ 0~-2.~-7g . 59-1603301 $7z8.54
i 941 06-3~-7g og-31-78 " 578.35
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~ PLACE OF FILING
; Clerk of Circuit Court
St• Lt1C1@ CO~.lrit3/ COLiI"f.hOU3A TOTAL S 13~~gc~
Fort i'ierce, Florida 33454
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t WITNESS my hand at Fort Pierce~ Florida . on cn~s.
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~ the.llth day of ygt7rtertlber _ 19 78
~ SIGNATU TITLE
~ ~ Revenue Officer
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- 4N0 : GrAf te of off~a a,ehw~sd by isw to alre scknow?edymsnts ~s not esssnual to ths rald~ry ol Not~n of Fsdsrsl Tt~ t,w+ G C M
~6419.C.8. 950-t. t25.1 ,
= PART 1- To be retained by iecord•.ng office
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