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Form V68 DeputmeM of the Tteawry - loternal Revenw 8etvtce
«„~e1~,,o78, Notice of Federal :Tax Lien Under Internal Revenue Laws
District Serial Number For ow~ona? use or Aacordwq tmree
- ;
Jacksonville ~
As provided by sections 6321, 6322. and 6323 of the Internal Revenue Code,
notice is given that. taxes (including interest and penalties) have been assessed
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 additional penalties, interest. and cx~sts that may 4~~;~$10
accrue.
Name of Taxpayer
Eugene J. Horny Sr• l
Donut Fair
Residence
1109 tlorth Federal Hwy.
Fort Pierce Fla. 3450
Ur~aid eatanos
(find of Tax Tax Period Ended pals of AssessmsM tder8ifying Number of AgepnfsrN ,
uu tee ca) tau - cau ~
' 941 09~-30-7g 07-0~-?9 59-1603301 496.72
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199 AU6 ZO ~ 42
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Place~of Filing
Clerk of Circuit Court
9t. Lucie County Courthouse Tots i 496.72
Ft. Piercer Fla. 33450
This notice was~prepared and signed at Fort: Pierces , on this.
the 15th day of August ,19 79 ~p ~,4 Pll~~rW f
Sig to Title
Charles J, t an. Jr. Revenue. Officer
(NotfX CMtNltatt+ or otlicar authaJrad hw to take .eknowNdOm.nb b not a.santid ro t1N valWUy o1 Notio. of
' F.dMd Tax Lion O.C.M. 2tt41O t~5a1, C.B. f2b.) i
,Part`~To bs Ics~ bbl recordirq office) Form 68d (Elev. >}78),