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Form pepartment of the Treasury - Internal Revenue Service
(Rev.SeDtember1978) Notice of Federal Tax lien Under Internal Revenue Laws
District Serial Number ~~~~pp For Optional Use by Racordinp t?tNCe
J ACSSONVILI~ ~l~ws.70 ~ ~ ~ I
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As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. A.
notice is given that taxes (including interest and penalties) have been assessed
against the following-named taxpayer. Demand for payment of this liability has
been made. but it remains unpaid. Therefore. there is a lien in favor of the United t~
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
accrue.
Name of Taxpayer
Loyal D. & Phyllis Thomas .
Residence
3018 K. Dude
Ft. Pierce, Fl. 33450
- Unpaid Balance
Kind of Tax Tax Period Ended Date 01 Assessment Identtflliny Number Of Assessment
ls) lb) [c) ld) ls)
1040 12-31-78 06-04-79 3~+-3~-359a 6.138.89
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Place of Filing
Clerk of Circuit Court 6,138.89
St. Lucie County Courthouse T~f :
F`t. Pierce, F1. 33450
This notice was prepared and signed at ~ • Pierce ~ Fl. , on this,
the 20th day of March ,19
Signature Title
(Note: Csrtit o/ oHicsr autAOriz by law to take acknowladymanq Is not awsntial to fh0 validity o1 NoNCe W
9 Fsdsn/ Tax . M. 2A41 O, 1 Y5a .9. 126.) ~ ga
Part 1 - To be kept by ftscordfng offic8~ P~Gf ~ 668 lRev. 9-78)