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Form V Department o1 the Treasury -Internal Revenue Service
(Rev. September 1979) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Optional Use by Recording OHice
Jacksonville, FL 1919 I~AY 30 PH 12~ 14
As provided by sections 6321, 6322. and 6323 of the Internal Revenue Code, ~T~EUCtE
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notice is given that taxes (including interest and penalties) have been assessed ROGER POITRA~
against the following-named taxpayer. Demand for payment of this liability has CLERK CIRCUIT C
been made, but it remains unpaid. Therefore. there is a lien in favor of the United RECORB ~'ER1FtE*+
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties. interest, and costs that may ,446144
accrue.
Name of Taxpayer
Emerson & t~.ary L. Trice
Resl1 11 North 16th Court
F`t. Pierce, FL 331,150
Unpaid Balance
Kind of Tax Tax Period Ended Oats o4< Assest:nlent Identifrirq Number of Assesstnent
(a) [b) [e) ld) le)
1010 12-31-78 011-23-79 263-30-1155 1,773.26
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Place of Filing
` Clerk, Circuit Court
St. Lucie County T~f = x,773.26
Ft. Pierce, Florida
This notice was prepared and signed at ~ Florida , on this,
the 1 ~ day of t~sy ,19 ?9
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Acting Chief, Office Branch
IN e: Certitkats o[ olfitsr avthorizad by law to take aclmowledgmants b not la/ fo tM valldJty of Notice oI
Federal Tax Lien O.C.M. 2611D 18501, C.B. 125.) U
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• Part 1- To be kept by recOrdirtp office-' Form 688 (Rev. >}78)
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