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F°r"' 668 pepartment of the Treasury -Internal Revenue servbo
(Rev.Septemher1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For optkxta/ Use by Recording Office
1980 APR t 0 PN 2 36
Jacksonville, F1
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, 6 ~ A f1! R
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
states on all property and rights to property belonging to this taxpayer for the 4~a~.74
amount of these taxes, and additional penalties, interest, and costs that may
accrue.
Name of Taxpayer
E. C. Glass
Residence
'1604 Juanita Ave.
Ft. Pierce F1 33450
Unpaid Balance
Kind of Tax Tax Period Ended L)ats of Assessmeflt Identifying Number alf Asf)eesment
la) (bl 1c1 1d1 (e)
1040 12/31/76 11/05/79 256.-48-5921 1,919.19
1040 12/31/77 11/05/79 256-48-5921 1,634.71
~ 1040 12/31/78 11/26/79 256-48-5921 1,236.42
E`
I
g Place of Filing Clerk of Circuit Court
St. Lucie County Total = 4,790.32
_ Ft. Pierce, F1 33450
s
3
This notice was prepared and signed at Melbourne, Florida on this,
the 24th day of March ,tg 80
Signature ~ ~ Title
GVi~~~/L1A./
Sandra A. Arnette Revenue Offier
(NotaK CertHlute of oNicer authorized by law to take atknowledgmenb h not ssserttia/ to the wlidlty of Nofk:o o/ ,
Federal Tax Uen O.C.M. 28418, 1g5o-1, C.B. 125.) gg~~~~
Part 1 - To be kept by recording offic8'" ~ p~ 668 (Rev. 9.78)