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Fo.~ 668 U. S. TREASURY DEPARTMENT - i?+TERn~~ aeveNUE SEev~tE Fa o,.,~.~ u.. er rr«a.d~~ a~ «
(REV. &67) NOTICE OF FEDERAI TAX IIEN UNDER INTERNA! REYEMUE IAwS
DISTRICT sER~A~ No. Fi~EO ANO RECORO~D{ '
Jaalceonvill~s ltlorida ST. LUCIE COUNTY. FLA.
Pursuont to ths prorisions oF Sections 6321, 6322, ond 6323 of the Internal Reve- ~~=''0~~ VERIFIED
nue Code, ~otice is hereby given thot thsre hove btsn ossessed under the Internal 19/~ra)~
Revenw lows of the United States ogoinst 1he (ollowi~g-nomed toxpoytr, toxes ~ O
(including interest and penolties) which ofter d~nwnd fw poyment thereo( remain '70 APR 22 PN I•~ ~
unpoid, ond that by virtue of the obove•mentioned stotutes the amount of said toxes, ~
togeth~r with penolties, inte~est, and costs thot moy occrue in addition th~reto, is
a(ien i~ iovu of the United Stotes upon oll, property ond rights to property belong- Z
~iO~~R . OITRAS
'"9 r° s°'d t°"P°y°.. CLERK CIRCUIT COURT;
NAME OF TAXPAYER
cr~atts~c$ w. & HEIEN AAZffi.LIF~F
RESIDENCE
Route 1, Baac 87~t, Fort Pi.eros ~ F1a.»33450 -
CLASS OF TAX UNPAID BALANCE
(Tox Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a ) (b) ~c ) (d } (e )
loi~o 12-31-68 4-}-70 261c-38-o01~6 85.6la
!
PLACE OF FILING C 2'~L~ C ll
St'• L11C~ CO11II~ TOTAL t 85~~ -
Ft. Pisrce ~ Fl,a.
WITNESS my hand ot '+~e8t Pak Bel~Chs Fl+~rlda , on this,.
tha~~~day of ~r~ , t9 TO ~
SIGNATURE TITLE
( Qrl~Otlp .~1~I'~~80!
Z'ltOmei C. GlSVaf
(NOTE: CertificoN o( offic~r ovehorit~d br low ~o tok~ acknowlsd9ments is not ~ssentiol to tlx volidity o~ NWic~ oF F~d~ral Tax Li~n G.C.M.
~.~9, ~.e. ~95os,. ~zs., a~184 49i
PART 1 To be retained br rocording office ~
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