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Form 668 U. S TREASURY UEPARTMENT - iNtERN~~ eEvENUE SERWCE Fw OPnow/Use Br Recod~.qOil~c•
~REv. 8-G71 NOTICE Of fEDERAI TAX LIEN UMDER INTERNAI REYENUE IAWS
fILEO A D RE~~QRDED~
DiSTRICT SERIAL N0. ST. LUCI~COUN1~. FL.A.
~a~CicsoII~ill~ 1R41''lda f: C(1 R ~ it ~
Pursuant to Ihe provisions of Sections 6321, 6322, ond 6323 of the Internol Reve-
nue Code, notice is hereby given thot thers hove been ossessed under the Internol
Revenue (aws of ~he United Stotes o9oinst the following-nomed taxpoyer, toxes ,10 S~P ~
(incl~ding interest ond penalties) which after demond fo~ poyment thereof remoin ~A
u~poid, ond thot by v~rtue of ~he obove-me~t~oned stotutes thc amount ol soid toxes,
toyeth~~ with penoltiss, inter~st, ond costs thot moy occ?ue ~n oddition thereto, is
o lien in fovor of the United Stotes upo~ all properly and rights to property belong- f~OC~ER ~~~ZRAS _
~~9 to :a~a ~ax~Y... CLERK CtRC IY~OURT
NAME ~JF TAXPAYER
lf~ad~• I~]~r~t~d
Rc~~u~i~Ct
Rtr BQZ 3OO
l~ort Pi~~ ~'Lorida
CLASS OF TAX UNPAID BALANCE
,Tox Return Form No.) PERIOD ENDED ASSESSMENT DATE IOENTIFYING NUMBER OF ASSESSMENT
(01 (b } . (c ) (d 1 (e )
112o L~-3L.6S 3-2•70 59-09b7099 =397.82
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~ PLACE OF FiLING C~~ Qi~~;
~ ~ 397.82
IAp~ (i~yd~ TOTAL S
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~ N11 TN ESS my hand at ~dt PiL ~i~0~ ~~Ol'1di
, on thi s,
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~ rhe 1 t~ day of 3Apt~0! , 19 70
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~ SIGNATU TITLE
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?1~9 Ci • ~Y~B OBUDP SITpY~OT~~
iNOTE: C«~~f~cor~ o~ o~~ic~r ou~hwi:ed by lo+n to ~okt ocknowledqmems ~s no~ ~ss~ntiol to 1M rel~d~fy o~ Nqitt of F~d~~ol To~ Li~n G.C.MI.
ZSA19, C.B. 195451, 125.) e~~[,~~
~ ~94
PART 1-To be ntainad by rfconling offic~
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