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oewlrrarr a TIE TaEWlsr - nrtell~ ~EVEMIE foc Optiatal us. er Raoordirp t~Ilice
IR~EH.~7I NOTICE OF fEOERAI TAX LNdI UNDER INTERNAL REYENYE LAMfi
DISTRICT SERIAL NUMBER
Jacksonville Florida
Pursuant to the provisions of Sections 6321. 8322, and 6323 of the Internal Revenue
Code. notice is hereby given that them have been assessed under the Internal Rave- ~I'9 M~Y I s ~ ~ 2 I
nue laws of the United States against the folbwinp-named taxpayer taxes lindudirtg
interest and penalties) which after demand for payment thereof remain unpaid. and EO A RECD 0
that by virtue of the above-mentioned statutes the amount of .said taxes. together with ~ ~ ~~T~A,
penalties. interest. and costs that may accrue in addition thereto, is a lien in favor of T a
the United States upon all property and rights to property belonging to said taxpayer. CIRI~NT
NAME OF TAXPAYER RECQRO YERIilEO-~......
Van and Rol;bie Charles 4418
RESIDENCE
116 Bedford Dr•
Fort Pierce F1. 33 50
UNPAID BALANCE
KIND OF TAX TAX PER100 ENDED GATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lal It?1 lcl WI lal
1040 12-31-78 oi~-~ 6-79, 141.-20-2583 ~ , • ~ 3
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~ PLACE OF FILING
~ Clerk of the Circuit Court
3ta Lucie Cou7ty Court House TOTALS 1,061,..13
p Fort Pierces Fl. 33450
WITNESS my hand at Fort Pierce, F1 on this.
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5
the 7th _day Of,~.'ar.~= 19 ~
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SIG TITLE
3evenue Officer
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~ 1 Certificate of author by law to tska acknowladpmanta is not aasnuat to tM rshdrty of Nobq or Fattaal Tar lean G.C.M.
2 . C.B. 1950-! . 25.1
PART 1 - To be retained by recording office O R~ ~ z71g
500..
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