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Form pepartmeM of tM Treasury • tntemat Rwenue Service
(Rw septembet1978) Notice of Federal Tax Lien Under Internal Revenue laws
DIStrICt .ger181 Number Fa OptJOnaf Use by RaeotOinp Office
49~
Jacksonville pp
EI I C~1{j~ f18A.
As provided by sections 6321. 6322, and 832$ of the Internal Revenue Code, ~~tr ~ a
notice is given that taxes (including interest and penalties) have been assessed CtitCWT f'gllt
against the following-named taxpayer. Demand for payment of this liability has 11ECOR~ vERIF+EO~~.~_
been made. but it remains unpaid. Therefore, there is a lien in favor of the United
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties. interest, and costs that may 491284
a«xt,e.
Name. of Taxpayer
Place & Ruthie Moody
Residence '
318 Aorth.llth St.
Fart Pierce, Fla. 3345
Unpaid eaianos
Kind of Tax Tax Period Ended ids of As~esMnent Ideetif)lirq Number oif At;aeaatertt
t+r ro~ tc) td~ te1
~ 1040 12-31-79 04-26-80 2+-60-6421 1196.7U
E - -
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Place of Filing
Clerk of the Circuit Court
St. Lucie County Courthouse To#al = 1196.70
Fart Pierce, Fla. 33450 .
This notice was prepared and signed St Fort Pit~rce, Fla. 33450 . on this,
the 10th ~y of June ,19 ~
Signatures Title
J/
C. oraa Jr. Revenue Officer
MOIe: CartlHub of offk;a? aut/~auad Dy law t0 take tacknowNdba?~nfs fa foot aasanNd to tM vaUdlttr a/ NotJCO oI ~
Faaian/ Tax Llat O.C.M. ?M1o 10.50.1, C.B. tYb.)
• ~ Part 1- To be kept by reCOrdNq ofibe Form 868 (Rev. X78)
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