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Form 668 ~ U. S. TREASURY DEPARTMENT - i?+TErtr+~~ ttEVEr+uE SE~•1~:E Fo. QN•o~oJ,Lse By R««d.~.q d1~c• _ •
ke~. a-s~~ ii~ii~E df ~EDEitAi TAX liE~i UNDE~ I~iiE~~ii?1 KEr~NUE ~~ws _
OISTRICT SERIAL N0.
Jacksonville F~LEp AND RECORDEO.
Pvrs~ont to tF~s .~~~s~ons oI Sect~ons 6321, 6322, ond 6323 of !he !^.!r~^o! R-~~- ~OUNTY. ~~-A•
nue Code. notice s hereby oiven that there I~ove been ossessed under the Internol Cj, ~"uC'.~.~r ~rC~'!F'r:%
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Revenu~ lows of the United States ogoinst the following-nomed toxpoyer, ,axe= - 18,74~1
(including interest ond penolties) whicF? after dairand for poyment thereof re:nain ~ O
u~poid, ond that by v~rtue of the obove-mentioned stotut~s rhe omount of soid to:es, 23~ AM '
togeth~r with penatties, interest, ond costs that muy occrue in addition rhereto, is ~ 9~~~, N
a lien in iavw of the Un~ted Stotes upon oll property o~d rights to prope~ty belon9- ~ t~~
in9 to soid toxpoyer.
NAME OF TAXPAYER R t~~~ ~~,S
~L[ftK CIRCU~T COURT
Rsx J. & Paula J. Holley
RESIOENCE
At 3 Eox 32~
Fort pierce~ Ylorida
CLA55 OF TAX UNPAID BALANCE
~Tox Return Form No.! PERIOD ENDED ASSESSMENT DATE IDENTIFYiNG NUMBER OF ASSESSMENT ~
~a 1 ~b 1 (c 1 (d ) (e ~
l0l~0 12-31-68 l~-5-69 234-28-?813 ~540.27
PLACE OF FiLING CZeY~~ C~I'Clllt COL1I't. :
St. Lucie COL1T1t3T TOTAL S~~•2? ~
~ r^ort Pierce~ Florida
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y j~Test Pa?m Beach, Florida ~
WITNESS m ha~d ot . ~ ~~s,~ ~
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t{,e 19~ dcy o{ December , t969 ,
SIGNA U TITLE
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THOMAS C. GRAVES GR.OUP 3UP8t~VISOR
MOTE: CertiFicoee of olfic~r ou+hori:~d bY low to tok~ ockno~•~led9men~s is not ~sstnt~ol to th~ valid~tr of Ndic~ et Fed~rol To: Li~n G.CJiA.
~~i9, C.B. 195a51. ~2s.~ BD'.~ll11V~
~ PART 1-To be ntained by recording office
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