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F~?~ 668 U. S. TREASURY DEPARTMENT - INTEkNAL REVENUE SERVICE Fv qn.m~! Use er RacoeJ.y >c~
(REV. &67) NOTICE Of FEDERAL TAX Llpl UNDER INTERNAt REIIENUE t AND R
~is ~cT SERIAL NO. ST. LU IE COUNTY, fLA.
Jacksonville E~f_ ~~ip VF~1FtEC
Pursuonf to t6~ provisions of Sections 6321, 6322,' ond 6323 of the Intsrnol R~ve-
nw Cods, notic~ is hsreby given tlwt th~r~ hav~ M~n assessed u~d~r the Int~real PM 6
R~v~nw lows of ths United Stat~s a9oinst the followinq-named toapay~~,1~~~CT
(inciudin9 int~r~st ond penoiti~s) which aft~? deawnd for poyment th~~~o( ~emoin ~s
unpaid, ond thot by virtve oF th~ obove-m~ntion~d stotut~s ths omount oE said tox~s,
toqeth~r with p~nolties, inte~~st, ond costs thot nay occrw in additio~ ther~to, is =t pp~Ti~4S
a lien in fova of tM United Stot~s upw~ all prope?ty oad riyhts to property beloe~L~R CIRCUIT COURT
iny to suid toxpoyfr.
NAME OF TAXPAYER
Jndge & pearly Givens :
RESIDENCE ~
507 North 12th Street
Ft. Pierce Fla. 3345~ -
CLASS OF TAX ' UNPAID BAL.ANCE
(Tox R~turn Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT ~
(o) (b) ic) (d)
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' 1040 12-31-67 6-13-69 z5~4-46-6293 $1,292.4~0
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~ PLACE OF FIUNG Clerk, Circuit Court
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~ St.. LUCl@ COUIlt.31 TOTAL S 1~29~.j~Q
Ft. Pierce! Florida ,
WITNESS my hand at ~~i. F1a. , on this,.
the~l,@fi`day of ~t• ,19 ~
SIGNATURE TITLE
~j
. ~ . Chief, Office Grorotp
MOTE: C..rifico» d oH~c•r o„~h.ris•d br lew ro tok..clc~a.l.dq~n~nts is nor ~ss~Mio) to tl» relidity of NWic~ ~f Feduel,T~,i Li~n Cs.Cal.
26~19, C.B. 14Sd51, 125.) •
PART 1 To b~ rotaie~d b~? nconling offic~ g00K ~VU PAGE~V8 ,
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