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\ _ .45'7894 ~
Notice of Fede~ai. Tax Lien Ueder Internal Re~nue Laws---=-
pistriCt 9eri~1l~Number _ = For ovaar,r us• ey A•owd0+o offta•
Jacksonville Florida ~ • 1918 SEP ;i 0 ~ !t 3k
As' Pra!Wed by sections 6321. 6922. and 8323 of the Internal Revenue C.ode. i A.
notice ~ given itt~ texas (tndnding Mterest arid-Penalties) have been messed T- -
~inst :the falowin~named triocpayer. Detnat~d for Payment of this liability has - -
been made. but it remains unpaid. Thsrefone. there:is a lien in savor of :the United ~
States cn all properly and rights to prope~iy litrionging to this taxpa~ter for the ~ ,
amount of these taxes. and additions! Penalties. interest. and costa thaE may - ~ -
' - 457894
Name of Taxpayer
Columbus ~ hennie L. P•Sartin -
Residanoe 3008 Avenue R
Fort PieECer Fl 33450 ~ '
. Unpaid Batanai"
Kind of Tex Tax Prriod Ended O~ of Asaament - IdsnWyNq Number ~ ` :d ~ -
w ay cw tm cu
1p/.~0 12~-31-77 259=21r-g?Ol - ~ • 273.71 _
~ 1010 is-31-?g z59~-~T~1 933.0?
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Place d Filing Clerk of the C3xcuit Court
9t• Iucie .County Courthouse To#sl i• -1,206.78
Fort F3.erce~ Florida 33450 -
This notice was prepmed and signed at Fort Pierce. Fl• . at this..
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the 6th day of Se;
tember.l9 74 -
Title
mw Revenue Officer ~ ~ -
O+aMc a o1He•r audaHiad by aw ro as a not ass•tttJ~ ~o n,..vudfi? d~ Nodoti of
Fa0aa1 Tait LNn O.GM. Y6410. 10641, Ga. 126.)
i 1:,_ To~'bs - ~ P~ Form 6~ (Elev. a•78)
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