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t16?A11t11ENt a tllE tIIEASIMII? - wrewAt f1EyeNE iHIgCE for optional use Br Recording ONice
lR~E1/.2~77) NOTICE OF FEDERAL TAX LIEN UI(DER INTERNAL REYENYE LAWS FILEO AND RECORDED"
DISTRICT SERIAL NUMBER T ~iJC;c C^,UPlTY. FLA.'
JACBSONVILLS ~ - ^ r"'
Pursuant to the provisions of Sections 6321. 6322. and 6323 of the Internal Revenue ~~~a
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Code. notice is hereby given that there have been• assessed under the lntemal Reve-
nue laws of the United States against the following-named taxpayer taxes (including t 9 ~ 2 ~ : 54
interest and penalties) which after demand fa payment thereof remain unpaid. and
chat by virtue of the above-mentioned statutes the amount of said taxes. together with o~
penalties. interest, and costs that may accrue in addition thereto. is a lien in favor of : - . '
:he United States upon all property and rights to property belonging to said taxpayer. ~ ' ~ i ~ ~ T ; ; *t
CL~f;r: ,,,c•...;.~ ,
NAME OF TAXPAYER .
Donald & Bernice Ho
RESIDENCE
P. 0. Boz 362
Fte Plerce, FL 33li5O
UNPAID BALANCE -
KIND Of TAx TAx PERK)D ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
IaY lbl Icl Idl let
10li0 12-•31-77 6-0`x-78 262-46-2176 1605.00
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PLACE OF FILING CLSRK~ CIRCUIT
~rjTy TOTAL $ 1605.00
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FI'. PISRCE, FLORIDA
WITNESS my hand at ~S>d~a FYOI"~d8 on this.
the 17'111 day of • AuBarst .1978
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IGNATURf _ TITLE
(~ief~ OYPice Br~~chli'
i INOTE~ Certificate of officer suttroraed by law ;o cske acknowlsdgment> rs not sssentul to tAe ralydcty of Notcq of F sl Ts: Lren G.C.M.
2619. G.B. 1950 I 125) ` k f
BART 1 - To be retained by recording.office U~~r~ tr: •
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