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Department of the Treasury-Internal Revenue Service 4o I~
F«m ~ Notic® of Federal Tax Lien Under Interinal Revenue Laws
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!Rev, October 19J81 t
District Serial Number 126904-Bk92*Pg263 For Optional Use By Recording Office
Jacksonville, Florida 203254 Bk 189 Pg 1368
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As provided by sections 6321,6322, and 6323 of the Internal Revenue Code, notice f iEE1O~~A~ItP FF, p
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is given that taxes (induding interest and penalties) have been messed against the fol- ~EfiK ~
lowing-named taxpayer, Oemand for payment of this liability has heart made, but it
remains unpaid. Therefore, there is a lien in favor of the United States on all property R'-~ YERIFiEO
and rights to property belonging to this taxpayer for the amount of these taxes, and p?~~yy
additional penalties, interest, and costs that may accrue. 4t1 I V ~ 0
Name of Taxpayer
Charles Sr. and Nora Reaves
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Residence
1706 Avenue "D"
Ft. Pierce, Florida 33450
Kind of Tax MFT Tax Period Ended Date of Assessment Identifying Number Unpaid Balance ~
(a1 (bl ~ (cl (dl (el of Assessment
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1040 30 12-31-63 4-8-64 204-10-2993 1,047.14
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Place of Filing er o e ircui our
St. Lucie County
Ft. Pierce, Florida Total S 1,047.14
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Notice of Federal Tax Lien Refiling
IRS Serial Number Recorder's Identification Number
Clerk of the Circuit Court
~ Notice Filed With St. Lucie County, Ft. Pierces. Florida Date
Taxpayer's Address (/f different than shown above '
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` Chief, Special Procedures Sta
Signature ~ ~ Title
E O'Neal 4-28-80
r This notice was prepared and signed at west Palm Beach, Florida ,on tnis,
the 19th day of Jtme ,t9 64
Signature /s/ Thomas C. Graves Title Group Supervisor
PB/dlk
I (N Ot9: Certificate of o/licer authorized by law to take acknowledgments is not essential to the validity of Notice of federal Tax Lien
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G.C.M. 26419, 195x1, C.B. 125.1 ~1 PaGE1~k~rm
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