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Form Department o1 the Treasury -Intemal Revenue Service
(Rev. September,9Tt3) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Optional Use hY Rsco?dirp orrice
1979 ~~n`f -9 P9 2~ 42
ltf~fl;~0' yy FFLA.
As provided by sections 6321, 6322, and 6323 of the Intemal Revenue Code,
notice is given that taxes (including interest and penalties) have been assessed il~tT~RAS
against the following-named taxpayer. Demand for payment of this liability has
been made, but it remains unpaid. Therefore, there is a lien in favor of the United
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes, and addition_ al penalties. interest, and costs that may y~~W
accrue.
Name of Taxpayer
Karl :-I. ~°e Florence Keller
Residence
2609 Citrus Ave.
~~'ort Pierce Florida _0 Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
la) lbf (e) `ld1 lsf
104p 12~-31-7g 4-?3-79 265-~5~-;~~?.1, 2291.15 -
I
x
Place of Filing
e Clerk of Cixcuit Court Total =
St. Lucie County Courthouse 2291.15
Fort Pierce, Fla. 33450
:i
This notice was prepared and signed at Pierces orid~ ~ , on this,
the 3rd day of ,19 ?Q
Signat Title
7~
(Note: Certificate officer authorized by law o take acknowlsdprnenfs K nor essential to the v~fMlty of Notice of
Federal Ta: Lien O.C.M. 28419, 1Q50.1, C.B. /2bJ 9
~C[ Form 688 (Rev. a78)
Part 1 - To be kept by recording office
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