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- 460613 /
Form Qepartment of the Treasury -Internal Revenue Service - _
IRev.September,97a, ~ Notice of Federal Tax Lien Under Internal Revenue Laws
Dishict _ Serial Number - _ Fo. optional us. M Recording ortrce
Jacksonville ~ 1919 $EP 27 PN ~ 16
as provided by sections 6321. 8322, and 6323 of the Internal _ Revenue code.
notice is given that taxes (including interest and penalties) hava been assessed f ED AN P.E~~ppRDEO -
against the following-named taxpayer. Demand for payment of this liability has ~ER
ppITRA lA.
been made. but it remains unpaid. Therefore. there is a lien in favor of the-United - CLERK CIRCUIT
States On alt property and rights to property belonging to this taxpayer for the ~CpRD VERIFIED..r. • -
amount of these taxes. and additional penalties. interest. and costs that may _
a~xrue. - ~ - 460613 -
Name of Taxpayer -
lbn Joh:'s ,y.i~~.:~~t inc., , ~ cor.cratia: -
Residence - _ -
n
Unpald Balance
Kind of Tax Tax Period Ended Date ~ Assessnleltt idst~tifyirlg Number of Aae:slnent r
i W lD) (cl (s)
~ _
9k1 12-3:.-; G 03-i`}-79 59--1~13~ _ 4, X50. °z
9J+1 03-31-7~3 Ob-i~--79 4,3.09
- -
Place of Filing ~
~ler~: of Circuit ~oart 9, 23?x.9.1
::t. iAlciB lAUiitj Total =
F=~rce, ~
1. 33450
This notice was prepared and signed at ~ • i'i~-rce, :i 1. . on this,
the~+t~: day of ,19 79•
Si u Title
:fie=rela•e Gfficer
aC r'Mti1 a of olfker a zad by law to take scknow/edgments b not gsentia! to tM validity of Nak:e of
F ra/ Tax Uon O.C.M. Y64tg, f, C.B. 126.) nw~~ ~e~
Pert 1 = Te't~ ken! tw recordino OT_ig_Ril~fl~(iT1 ~p~ $g$ (~v. 9-78)