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Form V V V - DeW~ent of the Treasury - Mternal Rsvtanw Service
(Rev. seotemt?er1878) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number p~ e~p Fw oarrornr us• by a•cardinp orrk•
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Jacksonville FL
SCI ~ C 6~
AS provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. P~
notice is given that taxes (including interest and penalties) have been assessed aptK
against the fdlowing-named taxpayer. Demand for payment of this liability has ~ORat ~Tait't[®_~
been made. but it remains unpaid. Therefore. there is a lien in favor of the United -
States on al! property and rights to property belonging to this taxpayer far the
amount of these taxes. and additional penalties, interest. and costs that may 4~~~
accrue.
Name of Taxpayer
Tro L ~ Mary H Shearer
Residence p 0 Box 4209
Ft Pierce, FL 33452
Unpaid Balance ;
Kind of Tax Tax iPeriod Ended Dats of Assessment ld~ifying Number d Assessment
cU ro~ lc) tw as
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j 1040-30 7912 OS-19-80 261-48-8679 39,681.96
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Place of Filing
Clerk, Circuit Court
St Lucie County - Total = 39,681.96
~ Ft Pierce, FL 33450
This notice was prepared and signed at Melbourne, Florida , on this.
the ilth~yof June ~9 80 -
signatu.
r~e~C. rifle -
G. A. Shame Revenue Officer
Mot•c C•rtlrkar• o? orrrc•~ aurAorrssd by Nw to tak• scknowl•Opw?srets b nat •sssnNM ro tM varidJh? of Notto• d
P•asrar Tax LI•n O.C.N. 2aIr0. fYbO.1, C.B. f26.)
PAGE 2 Psrt 1,- To be kopt by recording office,'. Form 668 (Rev. 9a8)
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