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Form Department of the Treasury • Internal Revenue Servbe
(Rev.september197a) Notice of Federal Tax Lien Under Internal .Revenue- Laws
District Serial Number For optiond Use by Recording ofrica
Jacksonville Fla 919 IIaY -2 AEI i~ 06
REC Q
As provided by sections 6321. 6322. and 8323 of the Internal Revenue Code. ~ A
notice is given that taxes (including interest and penalties) have been assessed CHIT A
against the following-named taxpayer. Demand for payment tip this liability has
been made, but it remains unpaid. Therefore. there is a lien in favor of the Unitet# YE~ffll
States on all property and rights to property belonging to this taxpayer for the A ~ 4
amount of these taxes. and additional penalties. interest. and costs that may ~.s
accrue.
Name of Taxpayer
Edward Je llonardir
Residence 2555 11th Ave. Apt. 223
Vero Beach Florida 32960 -
Unpaid Balance
Kind of Tax Tax Period Ended Date of A~ssnteltt Identifying Number of Amassment
(a) (b) (e) (dJ (sl
101,0 12--31-77 05-22-78 o28-z2-3867 578.54
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E
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S
3i~
3
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6
F
6
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Place of Filing Clerk of the Circuit Court
Ste Lucie County Courthouse Total = 578.54
Fort Pierces Florida 33450
This notice was prepared and signed at Fort Pierces Florida o this.
the 27th day of .April ,fig 79
Sig Title
i
r ~ ~ for Rev u
e: Gerrit to of ollfc uffMrfzed by law to take acknowledgments 1s not essantfa/ to the valfdity o/ Notice of
7.: ~ o.c.lu. s . resat, c.s. t2s.) SOGlc P~Cf~
Part 1. - To be kept by recording office=- Form 668 (Rev. 9-78)
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