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Form M68 - OapaRmant of tBs Treasury ~ Mts+md i~wanue 8anvice ~
(Rw s.vtemear1O78, Notice of Federal ~aX Lien Under Internal Revenue Laws
District serial Number - For ootlon.l W. bf? Racordb~p Qt11c.
i
Jacksonville
As provided by sections 6321. 8:122, and 8323 of the Intemai Revenue ~ Code. _ -
notice is given that taxes finduding. interest and penalties) have been assessed
against the fdlowing-named taxpayer. Demand for pa~rrrtent of this liability has
been atade. 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 45,x,,511
amount of these taxes, and additional penalties, inten3st. and ovate that may
aocxtte. ~
Name of Taxpayer
~„ene J. and Ann P. Horn, Sr.
Residence
1350 Duckingham Terrace
Port St. Lucien Fla. 33450
- ~ Unpaid fBalsnos
Kind of Tax Tax Period Ended Date of Assesarnent Nq Number. of Asteam~t .
w tru - cw rtn r.~
101,0 i~-31-77 05-14-79 08~-i~-3187 952.51 .
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1979 Al)6 20 AM 42
RECORD VER,FIEO :
Place of Filing s
Clerk of Circuit Court
5t. Lucie County Courthouse Total 1952.51
~ Ft. Piercer Fla. 33450 _ -
This notice was prepared and signed at Fort Pierce , on m~, _
the 15th day of August ,19 79 OY
80OY~ ~ PAGE~:in~J
Sign /~%y~~, ~ Title
4~
Chad J 1 T Rev u
(NObC CartHkats of offiear author@ad try law to ako acturowNdpmann b nor .saantlal to tM rallQ~? or Motlq b
Fadaral Tu Llan O.C.M. 2d1fo 1bbO-1, C.B. 12b.)
•Part 1 ,,-_,~To bs kept~b7~ reoording_offio~s~' Form a6A (t~ev. X78)
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