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~ O~A~fYEi1T Oi tHE tIlEAS1MY - rrt~Ml ~YH~ S~YICE fa OPtional Use B~ Rscadiny OI/ic~
~~.i6n~ NOTICE OF FEDERAL TAX LIEN UNDER INTERNAI REYENYE LAwS
DISTRICT SERIAL NUMBER
Jacksonville~ Fl. - . • _::t,:,t,_.,
Pursuant to the provisions of Sections 6321. 6322. snd 6323 of the Intemal Revenue ~ '
Code, notice is hereby given that there have beer? as~essed unde~ the Intemal Reve-
nue Isws of the United States against the folbwing-named taxpayer taxes linduding A
,
interest and penalties) which after demand for psymeM thereot remain unpaid. end
that by virtue of the above-me~tioned statutes the amount oi said taxes. together with g ~ 5 ~ 3$
penalties. interest. and costs that may accrue in addition thereto. is a lien in tavor of
the United States upon all property and nghts to propertY be~onging to seid taxpayer•
NAME OF TAXPAYER - -
2doah !tilson . .
RESIDENCE
Rt 5 ~ 513
Fort Pierce~ Florida 3345~
UNPAID BALANCE
i KIND OF TAX TAX PER100 ENDED DATE Of ASSESSMENT IOENi1FY1NG NUMBER OF ASSESSMENT
' Isl Ib1 lc) Idl 1~1
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i lOt,O 1~--3i-76 ~r-2b-79 261-zb-5479 2~0~1.94
~ 10Jr0 12~-31-?7 2-2b-79 2b1-26-5479 1, ~2•5?
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~ PLACE OF FIUNG Cl°rl: of tne Circuit Cour~t
~ 3t. Iucie County Courthouse TOTAL s 3,95z•51
~ Fort Pierce~ Florida 331}50 .
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~ WITNESS my hand at Fort Pierce~ ~ or1 a - , on this, ~
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~ the~~L_day of ~:aT~Ch _ 19 79
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~ SIG RE TITLE
~ ~evenue Ufficer
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~ TE CKtA te o~ offKer Qed by isw to Tste adcnowlsOflmsnts ~s not essenbal to tAs vaMd~ty of Not~u o~ FedK~~ Tsa L»n G.C.M.
~ tt9. C.8 1 0- ~ 125.i
PART 1- To be retained by recording offics S0~!( ~t~ ~'~LF ~r~.rV
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