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Forth 668 D.partms~t o(tl» Tra.twrY - lotemal Rw.nw S.~vice
(Rav septembert~78) Notice of Federal Tax Lien Under Internal Revenue Laws-
Dishict Serial Number Fo. optrorw w. oy R.cord~np onk.
Jacksonville 4:~a~4a~ ~ Z3 ~ ~ 54
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 A.
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 .
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties. Mterest. and costs that may
ao(xue. 4 83'745
Name of Taxpayer
Ronald & Sherry Kelly
531? 3.W. Anhinga
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Residence
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Palm City Fla. 33l~90 - .
. Unpaid
Kind of Tax Tax Period Ended Dats of Asss:apeM iderWfrirq Number of Assessmsttit
~ GU !b) !o/ !rn bJ
1040 30 ?812 LZ-19-?9 380-34-t~32? - 51,323.52
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Place of Filing
Clerk. of the Circui+. Court
- St. Lucie Co. Total i 51,323.52
Ft. Piorce, Fla. 33l~50
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This notice was prepared and signed at Went PAl m Be~h~ Fl a. , on this,
the h th day of .Tn_
lT .19 8n
Signature. Title ~
C.la: ~ -
C. W. Carter Reviertiue Officer
Ma.c C«rmurs of oNker authaiz.d by Nth to tak. acknotMndpwt~tb b not .ssr»tNN to tl» vtrJld~? o/ Notlc. of s
F.ara! 7a,t L,hrt o.c.w. ze~r~ rasar, c.e. ass.)
Part 1,=
To'bekept bt?~reconding oHios~ ~ Form 688 (Rev. X78) .
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