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F~ C~~ Deputment of ths Treasury • Intwnal Revenue Savice
v
(Rev.Septembe-1~78) Notice of Federal Tax Lien Under Internal Revenue Laws
~IS~fICt Serial Number Fo~ OP~lonaf lls~ bY A~tordinp OHIC~
Jackaonville, FL s~'4~' - ~Q ~~ Z3 ~~~ ~
As provlded by sections 6321. 6322, and 6323 of the Intemal Revenue Code. P~EQ AI~ PEC ~
notice is given that taxes (including interest and penalties) have been assessed SLLU~~E ~~~ '~p~i'
ROQER
against the fdlowing-named taxpayer. Demand for payment of this liability has ~EpX C~tgWT COUR
been made. but it remains unpaid. Therefore, there is a lien in favor of the United RE~~ ~R~FIlO_- ~
States on all property and righis to property belonging to this taxpayer for the
amount of these taxes. and additional penalties. interest. and cosis that may
~~ 5114'75
Name of Taxpayer
Richard 8. & Martha L. Olds
Residenoe
2108 Grant Place, No. 6
Melbourne, FL 32901
Unp~id Bsianoe
Ktnd of Tax Tax Period Ended Oete o1 As~esansnt IdsMft~rin~ Number of Asseasment
t.~ te~ tc~ ta~ t•~
1040-30 7812 12/31/79 II~F 264-62-0570 8,851.65
1040-30 7912 09/15/80 II~IIt 264-62-0570 3,517.75
Place of Filing
Clerk, Circuit Court
St. Lucie Covaty Total = 12,369.40
Ft. Pierce, FL 33450
This notice was prepared and signed at Orlando, Florida , on this,
the 13th d~of I~Io~vember 19 80
~ Signature Title
TL.
T. L. Weber Reveaue Officer ~
(NOt~ Corfific~f~ Of olfiCe~ aufho~iZW Dy larr to tak~ ~cknowl~dpminb b nof pi~n}!N t0 t!N vi1Jd1[y W NotiC~ 01
~ F.o.,~ i.~. u.~ a.c.~. ze+». »sa~. c.e. ~za.) ~V't~ PAGE~~~ '
Pert 1- TO be kePt b~l ~ecaainp ~ Form 688 (Rev. a78)
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