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Form Department Of the Treasury - tntemal Revenue Service
(Rev. Septembe.tti78, Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fo. optlonN v.• M aecordirq onwe
Jacksonville ~~'91~'4 1990 lIU6 -6 AM II= OS
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code, S
notice is given that taxes (including interest and penalties) have been asses4ed '
against the fdlowing-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 ~?~if~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
accrue. 49~52~'4
Name of Taxpayer
Heather M. Johnstone
Residence
111 N. S. Caprona Ave.
Port St. Lucie Fla.
Unpaid Balance
Kind of Tax Tax Period Ended Date of Attttessntertt ~ Idsrttlginp Number a Asssesttment
(e) [O) [C) fdI
1040 12-31-76 0$-12-?9 265-61-5139 634.02
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Place of Filing
Clerk of =the Circuit Court
Q 3t. Lucie County Courthouse Tob(; 634.02
Fort Pierce, Fla. 33450
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This notice was prepared and signed at I''~ Pierce. Fla. on this.
the 1st day of August ,19 ~
Signature / Title
C. Moran, Jr. Revenue Officer P~
Metac C•rtHleat• of oNic•r .urnai;.e by 1.w ro rak• aclv~owl.dpm.nts !s not .ss.nNN ro rn. valwRp W Notk• a/
F•O•ral Tarr U•n O.C.Y. 20410, 1laSaf, C.B. 12b.)
Part 1 - To be kept by reCOrdittg office ~ Form 688 (Rev. 878)
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