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CCp Deear~ment or tne treasu~r ~^tema~ ae.en~e Srn~_e
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.--E~~E~ ~:az, Notice of Federal Tax Lien Under Internal Revenue Laws
D st;+ct Serial Number For Opt~ona! Use by Recordrng Olt~ce
JACKSONVILLE, FL. s~i~
i:~:3 1 Q t.4t a~~
As p!ovided by sections 6321. 6322. and 6323 0l the Internal Revenue Code. notice is grven
that taxes (inciuding interest and penalties) have besn assessed against the following•named r~l.; f%.!~(
taxpayer. Demand fo~ payment of this iiability has been made, but it remains unpaid. t!'"!(
F' ~ (i f F' ! ~.I' r: : ~ ` .
Theiefore, there is a lien in favor of the l;nited States on all property and rights to property C~! Fr: -
belonging to ihis taxpayer for the amount of these taxes, and additional penalties, interest. ~
and costs t~at may accrue.
~Jame of taxpayer s~Q7 ~
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DONALD R. & SADIE J. OWEN
Besid2nCe ~2 A Hernando Street
Fort Pierce, Florida 3345z
IMPQRTANT RELEASE tNFORMATION - With respect to each assessment list betow, unless notice
of ~ien is refiled by the date given ir. column (e), this notice shall. on the day following such date.
operate as a certiiicate ofi release as defined in IRC 6325 (a).
~ Tax Period Date of Last Oay for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Refiling of Assessment
j (81 fb1 !dl (e) ~~1
~ 1040 12-31-80 26'7-46-6240 05-2j-81 06-2~37 5'+• 53
; 1040 12-31-81 " " 02-zi-83 03-23-89 2,b99.93
io4o 12- 1-82 " " " o7-z5-8 4~-z4-8g 3.,z55.23
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~ ~ ace of filing Clerk of the Circuit Court
St. Lucie Co~anty Courthouse Tofal S 4,009.69
Fort Pierce, Florida. 334y0
s notlce was prepared and signed at Fort Pierce, F7.Or1.d'cl , on this,
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~ ~ ~th day of August 19~
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_ :~dtUf6 j Titte
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~?aymond Saly ~ Revenue Officer '
~ (Nofo: e ~rale t ofi~~e,-, u~h~r~zed b w io 'Cko CCknOVV%@:j.'3EmQntS no~ essenr,a; re the val;d~'y of Nor~ce of Geae~a~ Tox L,en
G C.M. 419„ 19 C.B. 125J .
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~ Part 1- To be kep t by reCOr d ing o f fice
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