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FOrn1 pepartment of the Treasury ~ Internal Rewnw 3erviCe
tRer Sept.mber,~7a) Notice of Federal Tax Lien Under. Internal Revenue Laws
District Serial Number Fo? ow~+ v,. a? R«~ ottx.
Jacksonville, F) ~ritt~. _ X980 $EP 30 AM ~ 33
As provided by sections 6321. 6322. and 8:123 of the Internal Revenue Code. 0 ~ Op1~~p~COaO[t0
notice is given that taxes (including interest and penalties) have been assessed Sf ~POTTRL'OAUSRT
against the following-named taxpayer. Demand for payment of this liability has 1Xf;JNt CMCW
been made, but it remains unpaid. Therefore. there is a lien in favor Of the United iKtaRO ~'ElltrlEQ___...~_
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.
Name of Taxpayer
Sylvester Washington
Resid Avenue Q
Fort Pierce, Florida 33450
Kind of Tax Tax Perbd Ended Date of Asslearllent Wsrltilyirq Number AslseanneM
~ la) lb) ~ lc) ld) [e)
i
II 1040 12-31-76 06-25-79 261-48-3938. 307.17
1040 12-31-78 07-02-79 ~ 406.88
` 1040 i2-31-78 04-07-80 1,489.95
Place of Filing Clerk of the Circuit Court
St. Lucie County Courthouse Tp~) _ 2,2~•~
Fort Pierce, Florida 33450
This notice was prepared and signed at Fort Pierce, ..Florida on this.
the 29th day of September 1 g 80
Sign Title j
Revenue Officer
mw
Carti/kate o/ kw autAONzed ny bw to take aeknowNd~maM+ b not essentb? ro tM raNdAy o/ Notlee a
F Tar Lien O. . 26rfo, 1!750.1, C.B. f2b.)
Part 1 - To be kept by t~~~ Form 888 (Rev. 9-~e)