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Forn+ 668 U. S. TREASURY DEPARTMENT - iNTEert~~ aEVENUE SEav~tE fa qrr~O~~I UH v~ RKO/d~ ~~ce ~
(REV. &67) NOTICE OF FEDERAL TAX IIEN UNDER INTERNAI REYENUE LAwS
DISTRICT sEttint No. - FIlEO AND RECORDED
Jackaonvi3l.s . ST. LUCIE COUNTY. FLA.
Pursuont to tht provisions of Sections 6321, 632Z, ond 6323 of the Intsrnol Reve- fi~~~~r V~ R~F{``~ t
nve Cod~, ~otice is h~reby given that ther~ hovt been ossessed under the I~ternol S~!~!~~~ ~
Revenw lows of the United Stotss apai~st th~ followiny-named toxpoye~, toxes wAu 4 '
(incivdin~ inttrest and penalti~s) wF~ich oft~r deaond for porment thereo! rertwin ~70 ~QY W'1 J• Q~ i
unpoid, ond thot by virtue of th~ obove-mentio~ed stotut~s the omount of soid tozes, D~
to9ethK with p~~a~ti~s, inter~st, and costs thot aMy occrue in oddition thsreto, is w~~~~~ TC~ ;
o lien in fova of the Unitsd Smtes upon all property ond rights to propeny belony- =i(T ~,~j.ti j~7~ ~ t~; S '
~n9 to said toxpoyu. CLERK CIt~CUlT COURT '
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NAME OF TAXPAYER -
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RESIDENC~ ~
~l. X~ ~~1 $ti1~9~tr ~
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CLASS OF TAX UNPAID BALANCE ~
;Tvx Retu~n Fo?m No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o) ~b) (c) (d) (e)
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~ ~o i2-3i-68 6-i3-69 245-05~71~6 ~i7.25 ~
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r PLACE OF FILING C1gl~C~ C~S'Cii~tr COltl`'tr 217~25 ~
; $ti~ Lt~L•~A (7pim~ TOTAL S
~ ~91'O~~ ~3Dl~~
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~ WITNESS my hand at i/eat Pals Bea~h~l~l~o]Cida , o„ ~,~s~_ ;
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~ the l~_ddy of ~]r ,19~0
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1'H~lA3 • (~tA1B$ ~ (Y~OIIP $QPliRYISQ~
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(NOTE: C~rtificot~ of offic~r outhori:~d by law te toke acknowledya~ms is not ~ss~M~ol to tM .oUdch of Na~e• ef F~dKOi Toa Li~n G.C.M. ~
26119. C.B. 195OS1. 125.)
~ a~1~4 ~1~95
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~ PART 1-To b~ ntained by recording office
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