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Fofrn Oepaitment of the Treawry • Intem~t Revenue 8erv~e
(Rev sewamner1~78) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fo. oprronar use ny Rscordkq arrc•
Jacksonville ~ NAY Z~ ~ Z8
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code. ~ ~ ~
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 ~(Fy~p
States on all property and rights to property belonging to this taxpayer for the ~ i
amount of these taxes, and additional penalties, interest, and costs that may 49
accrue.
Name of Taxpayer
Alford ~ Ethel Broxn
Res)denoe 106 N . 38th St . •
Fort Pierce, Fl 33450
Unpaid 8a~
Kind of Tax Tax Period Ended Oats of Assessment {dentityirtg Number of Assesarnent
W ~ [b) [c) (dn W
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io4o-30 7912 04-07-80 zy+-4.8-8843 853.E
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Place of Filing J
Clerk of the Circuit Court
3t . Lucie County Total = 853 • ~
Ft. Pierce, F1 335 .
a
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Jacksonville, Fl
This notice was pn3pared and signed at . on this,
the 29th day of April ,19 ~
Signature Frank Johns Title
Chief, Office ranch
(Natec crrrk.re o? ofNcer .urnorhed W raw ro r.k. .crmowr.dpmsmu ra nor eas+rnu/ ro ~ da raddltlr a Notice a
Eden/ Tu UM O.C.M. 2tfl f 0 f x541, C.B. f 25.) gg~~~~~ P~~~
Part 1_ - To bs kept bf? recordirq_oif~ • Form 868 tRev. a7a)
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