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OHMiMBIT Oi 11E t11EASINI! - INTewILL a>:veuE tFJIMICE fa Optional Use 8y ecordirlg Office
(R~E11.e2a-787) NOTICE OF FEDERAL• TAX LIEN UNDER INTERNAL REYENYE LAWS
DISTRICT SERIAL NUMBER
JAtlC90NVILLI; ?=;LED AND RECORDED
i_.UCtE C~U'!''Y. FLA.
Pursuant to the provisions of Sections 6321. 6322, and 6323 of the Internal Revenue ~ ; ; : ~ ~ r.
Code. notice is hereby given that there have been assessed under the Intemal Reve-
nue Isws of the United States against the folbwing•named taxpayer taxes iincluding ~ ~ ~~0
interest and penalties) which aher demand for payment thereof remain unpaid. and X79 JQ~ 19 ~ QM ~Q • y8
that by virtue of the above-mentioned statutes the amount of said taxes. tpgether with i7
penalties. interest. and costs that may accrue in addition thereto. is a lien in favor of ~ /
the United States upon all property and rights to property belonging to said taxpayer. 9
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NAME OF TAXPAYER C! ERh:~ C.~:::;1 i ,`-".t~~
WILLIE J. LAHPICIN
RESIDENCE
4109 MAI~ITANZBS
FT. PIBRCS FL. 33450 _
UNPAID BALANCE
KIND Of TAX TAX PERK)O ENDED GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASS; SSMENT
(s1 lb1 {d Id1
1040 12-31-TT 0?-31»78 255-'~0»9~~ ; $2s820•tdD
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PLACE OF FILING COURT
ST. UTCIE OOUN'L'Y TOTAL $ 2aS20•l10
FORT PIERCS~ FIARIDA
WITNESS my hand et FI'ORID~ on this.
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the 4th• day o! 19 78.
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~ SIGNATURE TITLE
G~ief~ Oft'ioo Branch
ItiOTE is 1 otficer ad by law to aclcrwwt.dym.nts Hoot ssentul to ttN valw:ity of Not~c. of F.d.ral Tai li.n G.C.M
26119. .a. 95 1 125.1 Q R M,
PART 1 - To be retained by recording office EG~t _9WS.7< ~~I;[~~
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