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T CC~ DlD~~t~nt OI In! TqaSUry - IntNnai Re.Mue Se~.~ce
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~~~3; Notice of Federal Tax Lien Under Internal Revenue Laws
strict Serial Number For Optional Use by Recoid~ng Oll~ce
3ACKSONVILLE 6:~4~33
'85 FEB 27 P 2 ~55`, ~
As provided by sectioc~s 6321, 6322, and 6323 of the Intemal Revenue Code, notice is given F~D ~
ihat taxes(including interest and penalties) have been assessed against the following-named F~`i ' ~~T
taxpayer. Demand for payment of this liability has been made, but it remains unpaid. ROGFR ' . - i~ ;
Therefore~ there is a lien in favor of the United States on all propeny and rights to property $t. LUi.~~ t
belonging to this taxpayer for the amount of these taxes, and additional penalties, interest,
and Costs that may accrue.
Name of taxpayer ~~~']C~-'
BENJAMIN TOOMBS ~~V
~esidence
112 N. 24TH STREET
FT. PIERCE, FL 33450
;~v1PORTANT RELEASE INFORMATION-With respect to, each assessment listed
b2!ow, unless notice of lien is refiled by the date given in column (e), this notice
~i;all, on ihe day following such date, operate as a certificate of release as de-
' `.ned in IRC 6325 (a1.
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~ T~x Period Date of Last Day for Unpaid Balance
i Kind of Tax Ended ldentifying Number Assessment Refiling of Assessment
~ (,1 (b1 (d1 (e) U)
E
' 1040 12-31-80 260-42-0700 02-06-84 03-07-90 4925.43
1040 12-31-83 " " 06-18-84 07-18-90 1316.00
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~ F':a~g of fHir?fl
CLERK OF TiiE CIRCUIT COURT
ST. LUCIE COUNTY COURTHOUSE Total i 6241.43
FT. PIERCE, FZ 33450
s notice was prepared and si~ned at FT . PI ERCE, FL , on this,
,~t 27th day ot FEBRUARY , t9 85
_nature ' ~ ~ TiNe
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RICHARD A. FOitU CT GROUP MA~~IAGER (EXAM)
(N~TE~ L~~rt~lirvf~• nl U+`(~i e•r ,~uthnnl~•~1 hy t, l,+ke• .~rk~ir~wi!•~lye~rnt•r,iti ~S nOt ~'t~.t~nLdl f0 thP vdJul~fy O~ Nohi:~• ~~l Fr~1~~r,~f
T.7? L+r~n R~~v Rul I1 466 19/i 7 C B 401 '
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Part 1- To be kept by recording office
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