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Fotnf t7epartment of the Treasury -Internal Revenue Service
(Rev septembsrl9Ta) Notice of Federal Tax Lien Under Internal Revenue Laws
Fa Oplkmal Uss by AeeoMlnp OHics
District Serial Number
49~i286 1 ~p ~ ~ k8
Jacksonville, FL
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 ~E~
VEt~KA~
been made. but it remains unpaid. Therefore. there is a lien in favor of the United ~ -
States on all property and rights to properly belonging to this taxpayer for the
amount of these taxes. and additional penalties, interest. and costs that may 4`~
accrue.
Name of Taxpayer
Arliss W Graves~Ill
Restdenc~ 1320E 38th S t, Apt 8
Davenport, IA 52807
_ Unpaid Balsrfce
Kirtd o1 Tax Tax Period Ended Dats of Ass>e~ment ~ Number of Assessment
j U) tp) tc) (av teI
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I
1040-30 7312 03-i1-74 261-76-6412 80.87
1040-30 7412 OS-14-79 " 73,910.77
e
w Place of Fili ~
ng Clerk Circuit Court
St Lucie County Tp~l = 73,991.64
Ft Pierce, FL 33450
This notice was prepared and signed at Melbourne, Florida ~ on this.
the 30th ~ ~ May ~ g 80.
Signature ~ Title
Sharpe Revenue Officer
Mote: CMlilk:ate of olfk:M autApized pY law to take acknowfcdymanta b not aasavetis/ ro tM va/idiry o1 Notk:e of
Federal Tax Lean O.C.M. 2flI t t1, f Yti01, C.B. 126.)
f!~ Part 1- To be kept by recording offlos Form 688 (Rev. aa8)
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