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Form ~ of tM Trwwry - MM.n+d Rw~nw 8NVirm _
Notice of Federal Tax Lien Under Internal Revenue Laws ~
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QlStriCt geri#d Nwnber~ For oarronraf W. dy R.eordlnp oflfe. i
JAC1ftS0liVILLB
As provided by sections 6321 8322. and 6323 of the tntemal Revenue Code. ~.~~D {~NC~ iZECOttDED
notice is given that taxes- (including interest and penalties) have been assessed _ _ . ; r i E i. Ur,,7Y . ~
against the fdlOwing-Warned taxpayer. Delnatld for payment of this liability has - - c , , r. c. ; F 1 i~?
been made. but it remains unpaid. Therefore. ttgre ~ a lien in favor Of the United
States on all property and rights b property belonging to this taxpayer for the 4~~
amount of ttrese taxes. and additional penalties, interest. and. costs that may , 9 F ~ ? 2Z ~ 9:01 ~ -
accrue.
Name of Taxpayer Eddie C 6 Sars J peavey, III :
pilliaes S 6 10 & Luncheonette C1-~ ~ ~
Residence ep yr ve
Ft. Pierce, F1 .33452 -
Unpaid ealano.
Kind of Tax Tax Perbd Ended fDaee of Asasamant ~ IdaNifykq Nwnbsr oft Assessment
w te, cep ta, . ra
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940 12-31-78 02-OS-79 S9-1S34943 225.78 ~
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Peace of Feting CIRCUIT COURT
St. Lucie CouatY Total = 225.78 f
lE*t. Pierce, Florida l
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€ Miasii, Florida
This notice was prepared and signed at . on this,
the 14 ~ ~ February 19 79 - .
Sig r Title i~j~ '
Chief, Office Branch ~
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Q/oe~ GrtNlc.h a onre« .ur b by ro r+k. .eknowa4o~~ a d , «.«urar ro tA. ralJdlty a Moue. or
F.WrN Tu Lan O.C.M. 46r1Y, 1~ i, C.B. f 6.)
Part 1- To be kept d!I roootdinp affbs~ ~ ~ Form 688 iRev. 878)
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