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Form ~~S O•p.AmMN of tM Tn•wry • Int•rn•1 RwYrtw 8.1vIC•
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_ Notice of Federal Tax. Uen Under- Internal Revenue Laws
District - Serial Number - - ~ Fa opnand us• by R•eadrq 011x•
Jactaonville ~ -I !!1 2-' IS
As provided by sections 6321. 6322. 8nd 8325 of the Internal Revenue Code=. ~ #
notice is given that taxes (including interest and penalties) have been assessed
against the fdlowin6-namod taxpayer. Demand for gayment of this liability has E
been made, but it remains unpaid. Therefore.-there is a lien in favor of the United RECStle
States on all property and rights to property belotging to this taxpayer for the
amount of these taxes. and additional penalties„ ~nterest, and poets that may
accrue. 4'74831
Name of Taxpayer -
1
Harvey L. ~ Mary A. Jones -
s~~ ~ _ t
Re2604 Sterling Ct. -
Fort Fierce, Fla. 331+50
Unpaid BYs~~os
Kind of Tax _ Ts: t~erlod Endor! Oa1e d Asresaaeet Identifying Number of AssaamerN
"cU ceu rar - tai ra i
1040 12-31 ?'8 07-16-79 2b2-66-8950 229•g1 ~
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F'18ce Of Filing
Clerk Of the Circuft Court
" St. Zucie Camty Courthouse Totem =229.81
-Fart Fierce, Fla. 33454 .
This notice was prepared and signed ffi Fort Pierce, Fla. . on this,
the.~+~ day of Jay .19 ~ - - '
Signatu title - ~
..tom f ~ )
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C. d. , Jr. Revenue Officer -
Qi•ae e«n?ka w onie•r a,uariz•d w ro at• acluarNgpis•nts /s not sserKtsl ro fM vaYdfAr w Notk• w
F•ONN Ti: Lhn O.GM. 2Ar1R tY041, C.O. 12~.) _
. .Part~To oe ~ v!r raoordMq offlc~ Form 668 (Rav. 9.78). ~ ry
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