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Form Department of the Treasury - Internal Ravarue Service
(Rev. September 1978) Notice of Federal Tax Lien Under Internal Revenue Laws"(
District Serial Number Fa optiarat Use by Reeorduq OtNCe
Jaaksonviue '49~a3 '6 ~ 11= 0
As provided by sections 6321. 8322, and 6323 of the Internal Revenue Code. : A.
notice is given that taxes (including interest and penalties) have been assessed SOUR
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 Unity vERtF~EO _
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 4:~~-6~3
accrue.
Name of Taxpayer
Vanderb~gh Johnstone, III
Residence
111 N. 8. Caprona St.
Port St. Lucie, Fla. 33452
Unpaid 9slsnce
i tt;Md of Tax Tax Period Ended Date of Assesssnlerlt Identifying Number _ of A:se:snlent
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Ii 1040 12-31-?6 o~i~-o2-79 265-61-n?z u86.~8
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z Place of Filing
Cleric of the Circuit Court Total =486.78
r 3t. Luoie County Courthouse
{ Ft. Pierce, Fla. 33450
This notice was prepared and signed at Fort Pierce, Fla. , on this,
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the 1st day of August ,tg 80
Signature ~ Title p~~~t~
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C. .Horan, Jr. Revenue Officer
i (Note: CerlNkate o1 oltker authorized fiy taw to fake acknowledpmsnb b not esserrtMl to the valWlry of Notke o1
Fedora! Tu L1en O.C.M. 2M1~, 1p30-1, C.B. 126.)
i
l Part 1,-To be kept by.recording office,`, Ftxm 86$ (Rev. A-78)
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