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Forte ~ DepaAment of the Treasury -Internal Revenue Service
(Rev September 1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number - For osNron•r use ey aecor~ omc•
ATreNrA 8 4~'708~~: 1980 I~AY 20 AN its 09
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. ~COaaE~D
notice is given that taxes (including interest and penalties) have been assessed 1~,I A
against the following-named taxpayer. Demand for payment of this liability has
been made. but lt remainsunpaid. Therefore, there is a lien in favor of the United AFNillt ~'llllPCEO
States on all properly and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties. interest. and Costs that may ~~~4
accrue.
Name of Taxpayer •
Bd~rard A & Eleanore M Benson
Residence
3511 Boel.ing Green Yay
- Atlanta GA 303110
- Unpaid Bs>ancs
Kind of Tax Tax Period Ended i3ste of Assessment idantittring Number d Assessrr~eat
cu cep co) can c•~
1040-30 05/28/79 I!~ 118-24-5?ll 1,ia7.52
Place of Filing
Clerk of the Circuit Court ~ Total = 1,107.52
St Lucie County
fort Pierce, F1 33450
This notice was prepared and signed at daaksonville, Florida . on this,
the~_ day of _~y .19 ~
Signatur Titte
J~rs?L~'~,~G~ i
e
Mae: c•rrmc•r• onk« •urnotrd ey ro r•rc• •cknowbdpm•nn b nor essential ro tee r•iidly of make a
Federal Tex U•n O.C.M. 24110, flabat, C.B. 123.) (x
Psrt 1= To bs record Form 86a ¢7a)
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