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tRev. z-»? NOTICE OF FEDERl1l TAX LIEM UNDERINTERNAI REYENYE LAMR
DIST.RICT SERIAL NUMBER
Pursuant to the provisions oi Sections 6321, 8322, snd 6323 of the Intemal Revenue
Code. notice is her rven that the~e hsve bsen assessed under the intemal Reve• !
9~ ?9 9 JJi~ -7 A!# ~ I
nue laws ot the United States agai~st the tolbwing-named taxpayer taxes (including
interest and penalties) which after~ demand for peyment thereoi remain unpaid. and fp~~p i~fCORUkO
that by virtue of the above-mentioned stat~ctes the amount of said taxea. together with ~ tlC C Y.FIA.
penatties. interest. and costs that msy accrue in add'Kion thereto. is a lien in tavor of ~~~~~T
the United States upon all property end rights to property belonging to said taxpayer. ~
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NAME OF TAXPAYER
EDDIE & RUBY COBB ~~~1
RESIDE~I~ Ave M
Ft. Pierce, FL 33450
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENOED ~ATE OF A8SESSMENT IDENTIFYING NUMBER OF ASSESSMENT
lal lb1 Icl (dl (~1
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~ 1040 12-31-76 10-10-77 424-40-1612 - 194.36
! 1040 12-31-77 05-22-753 " 975.12
; 1040 12-31-7~ 05-21-79 " SSG.45
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PLACE OF FILING Clerk of Gircui t Court
~ St. Lucie County TOTAL S 1,~25.43
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FL. Pierce, FL 33450
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WITNESS my hand at 2•felnourne„~ FI. , on this,
' q~ 24th dar of r~Y 19
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a SIGNATURE TtTt,E
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~ I'or Crandall
tNOtE- Grufica~~ of o thaasd by 1iw to ts4~ sckrwwlsdqm~nu n not esssnns! to tM vaMd~t~r o ot F~d~rN Taoc l»n G.C.M
26419. C.6. /950-1. '25.1
PART 1- To bo retained b~r recording oHics ~ R ~O F 5~
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