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Form ~~S Oepartmttr~t of the Treasury • Internal Reverrua Service
iRev September 1976) Notice of Federal Tax Lien Under internal Revenue Laws
District Serial Number C) ~C)RS Fo. ow~ar u:• by Record%.~ orr~cs
^II ~,VVV~ N \ ~ ~
ACffi _LLE ~ r C R ` " ; r - h
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code. 5? ; . _ ; j
notice is given that taxes (including interest and penalties) have been assessed 1` ` t ~ ~ ~ ~
C:i .r~ L:~:~U.: CL~
against the fdlowing-named taxpayer. Demand for payment of this liability has . _ „
:x;en made. but it remains unpaid. The:efare. tt~e is s lion in favor of the Uniled . , -
States on all property and rights to property belonging to this taxpayer for the 5~~51
amount of these taxes, and additional penalties. interest. and costs that may
accrue.
Name of Taxpayer
LEYI MRIGHT JR
Residence
2900 SHERATON BLVD FORT PIERCE FL
Unpaid balance
Kind of Tax Tsx Period Ended Data of Assessmeltt Identift?ilq Number of Assessment
[U (b) [c) (d)
~ 1040 12-31-78 ~ 06-04-79 267-66-0431 956.68
I
s
Place of Filing
CLERK OF THE CIRCUIT COURT Total = 956.68
ST LUCIB COUNTY COURTHOUSE
~ FORT PIERCE, ~ 33450
r
~ This notice was prepared and signed at FORT PIERCE} Fi.A . on this,
I
the~_ day of _ .19 $ct
Signature ~ Title
,.Zr.. ~ hH REVENUE OFFICER
tM c«r kr• a orricer aurhorr:ed by ro rak• acknowladpmarNa b na y~tw ro rn. ra:wuy a Horrc• a
F Uan O.C.Y. ?6It9, r934f. C.B. t ) ~e;l lei] P~
f ,MLJ~ Form 688 (R6v. 978)
Part 1, - To be kept by recordirq office: .
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