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Form - Department of the Treasury -Internal Revenue Service -
(Rev.September1978) Notice of Federal- Tax Lien Under Internal. Revenue Laws .
District Serial Number For OpNonaf Uss Dy Recordi~ Office
,te~cxsaNVnts .
f E A
As provided by sections 6321, 6322, and 6:123 of the Intpmal Revenue Code. i
notice is given that taxes (including interest and penalties) have been assessed
against the following-named taxpayer. Demand for payment of this liability has R!~ YEt~'EII
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 costs that may ~a~~1
accrue.
Name of Taxpayer
JABS - C. i~ LUCILLB L. PAPPAS
Residence
11 fl[lABTBNAY SPANISH LAKE8
PORT ST. Lt1trIB, FL 33452
Unpaid Bslattce
-Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assesstttettt
[a) (D1 [W ~ [d) (e)
1040 12-31-78 6-11-79 042-16-8176 610.95
I
{E -
Place of Filing Clerk of Circuit Court
St. Lucie County Total =
pt. Pierce, FL 3345Q 610.95
This notice was prepared and signed at Melbourne, PL , on this,
the 'r+~ day of April ,19 80
Signature Title
For Crandall Gr Mana er
` (Nets: Certificate o! officer authorized Dy to take acknowledymenta b not essential to the vdidify OI Nofk:e of
Federd Tar Uerr O.C.M. 26tt9, fs50.1. C.B. 12 llR
Part 1 - Te he kept by recording tytfli.'9~ P~ Form 668 (Rev. a78)