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' CL`~ Deoartmznt o+ cne Treas~ry ~ i~;erna! Re~e~ue Ser.~_e
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~..-_~-~F~ ~Q:z~ Notice ot Federat Tax Lien Under Internai Revenue Laws
~:!r,ct Seria~ Number For OptionaJ Use by Recoidmg Oll,ce
JACKSONVILI~E, FL. s,a~.7il~ra~
I983 lp A~; 9 0~
As ~ovided b sections 6321. 6322, and 6323 of the tnternal Reve~ue Code, notice is given
P Y i ~i_: i f AC
that taxes (~ncluding interest and penalties) have been assessed against the following-named f;" r'
taxpayer. Demand !o? payment of this liability has been made, but it remains unpaid. ~ i ~i ~ F~` ~•s::,.;
Theretore, there is a lien In favor of the United States on all property and r+ghts to property t'`r O
trelonging to ihis taxpayer tor the amount of these taxes, and additional penalties, interest. . r~ ~
and costs that may accrue. 3°
':arr~e of taxpayer ~
619123
J~RY H. & APINELI~ E. WARE
Hesidence Route 8 Box 1161
Fort Pierce, Florida 33450
IMPOATANT RELEASE INFORMATION - With respect to each assessment Iist below, unless notice
iien is refiled by the date given in column (e), this notice shaH, on tfie day foffowing such date.
~c~erate as a certificate of release as defined in IRC 6325 (a).
Tax Period Date ut Last Day ior Unpaid Baiance
Kind of Tax Ended Identifying Number Assessment Refiling of Assessment
(a) Ib) f~) (d1 (e)
1040A i2-31-81 267-40-2192 06-06-83 Q7-06-89 1,7~~.95
~ l04o i2-3i-82 " " " 05-06-83 07-06-89 377.32
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~ Clerk of the Gircuit Court
~ St. Lucie Caunty Courthouse Tota~ s 2,086.27
Fort Pierce, Florida. 334~50
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~ Fort Pierce, Florida
! - s notice was prepared a~d signed at , an this,
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~ 23th Cay of July . ts 33
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~ ~ g~ature ~itle
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C, J t~;o , Jr. fcr CT Revenue Officer '
- (Nef~: Ce~+,ficv~e a{ office~ v:~r ,or~zea by ~aw !o ~o~e oc+~^ow~edge~enrs ~s ~o' essennof ro rhe •~a~~d y of TJo+~ce o~ Feae~oi To• i:e~
G.C M 264i9, 1950- C.B. 125. j
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Part 1- To be kept by recording office 4~ ~~~E ~ ~ ~~5 ` ~
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