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Forrrl Q~~ Department of the Treasury - Internal Revenue Service
(Rev Seotember1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For opllonal u:. ny Recording onics
Richmond Vir inia 4~~~~ ~ NAY 20 ~ ~ ~9
As provided by sections 6321, 6322, and 8323 of the Internal Revenue Code. AkC }
notice is given that taxes (including interest and penalties) have been assessed
against the fdlowing-named taxpayer. Demand for payment of this liability has K
been made. but it remains unpaid. Therefore, there is a lien in favor of the United at~ealevl~tlrreo.
States on all property and rights to properiy belonging to this taxpayer for the
amount of these taxes, and additional penalties, interest, and cysts that may 4~v~ .
accrue. vv
Name of Taxpayer
John R. Gilliam
Residence
1660 tiiest:rind '•'a~*, _ Lean, VA 221C1
Unpaid Balance
Kind of Tax Tax Period Ettded Die of Assessment identth?ing Number of Asses&nent
w cn~ c~~ td) - cr
9!a - 17 09-30-76 09-17-79 X199-26-0804 N X9,603.68
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Place of ding
Clerk of the Circuit Court
St. Lucie County Total = 9,603.68
~ Fort Pierce, Fl 3350 4
This notice was prepared and signed at Jacksonville, Florida , on this.
the 2nd day Of ~ ,19 ~
Signatur- Title M
/ w/,'~ S
~ (NOtK Cerlilicale officer authorized trr law f0 tak. acknowNdgmanfs b not esaeotW to tM validity of Notlc. 01
f.denl Tur LJ.n O.C.M.2Q4f~ fg30~1,C.B. f2b.) e~~~rM~ e1nC~~
Part 1,- To bs kept bh reoorditrp. iL~~i,~l~i_J( ri~lC F~ ~ tom. X78)
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