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Portrr Mpartm.nt of itw Trptury - Mt~rntU Rwonu. SMrke
t~o„s.~~,~.,~,8, .Notice of Federal Tax Lien Under Internal Revenue Laws ;
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District Seriai:Number For ovr~ ua• bt? aacordwq onlw
Jacksonville Fla
As provided by sections 6321.. 6322, and 6:123 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been assessed
against the fdlowing-named taxpayer. Oemand for payment of this psbitity has
been made, twt it remains unpaid. Therefore, there Is a lien in favor of the United ~5~09
States on all property and rights to propefir belonging to this taxpayer for the
amount of these taxes, and additional penalties. interest, and costs that may
aorxue. _ - .
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Name of Taxpayer
Curtis lkumrner .
Residence ~ . gee
Fort: Pierces Florida 331+50
i
ears
KMd of Tax Tax Period Ended Dets of Awament fdergiryirq Number of A~esanent
la) [L) [c) [au [N
1+040 12-31-76 OS•-z~-79 25~-x-1075 9@.56
1040 1~-3 i-?? 05-21-79 25~+
t?~-1075 656.47.
1040 12-32-7$ OG-01«-79 251a-4~-~75 X75.35
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409
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Place of Filing Qerk of Lhe Circuit Court
St. Lucie Country Courthouse Tpta! = 2r 252.313
Fort Piercer Florida 33450
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This notice was prepared and signed at Fort Pierces Florida , ~ this, ~ .
the 16th d of August ,19 79
~ PAGE ~;,~JIIA)
Signature Title
for :•u :~nvenue Officer
Motes rs of orric.r authorir by Ni to ak. acknowlWpmants H nor ass.nriN ro tA. varidlry o/ Natla. aI
F.daral LNn a.c.v.2rHr~ r~ao- .e. rza)
.t~art~o be kept bf? recording otfks) Form d~ (Rev. P~78)
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