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Form 668 U. S. TREASURY DEPARTMENT - u+TEen~~ rtEveNUE SErtv~eE Fw Oor.enol'Jse B~ Recod~~p tA
~REV.B-671 NOTICE Of fEDERAi TAX IIEN IiNDER INTERNAL REVENUE IAWS
DISTRICT SERIAL NO. ~~O ANO REC~ROBO~,_
Jaeks~?till~ 1~'l+a"i+d~ T. LUCIE COUNTY. ~i.A.
Pu~suant fo th• provisions of Sect~ons 6321, 6322, and 6323 0l the i~,~?~ai Re~e- RECORD VERIFIED
nue Cod~, notice is hereby given that there Fwve bten ossesse~ under the Internal ~~~A~~
R~venu~ lows of the United States ogoinst the following-named toxpoye~, to~ces a
(i~tludin interest and nolties) which ofter d~nwnd for ment thereof remoin •
9 ~°y '?0 SEP 25 PM . qq
unpoid, and thot by v~rtue oF the obove-mentioned stotutes ~he amount ol soid toxes,
to9etl+~t witfi pa~+alt;~s, :nterast, oad coses el~ot way occ~u~ ,a add:teon the~eio, is - t
o li~n in favor of the United Stotes upo~ oll ~roperty ond rights to proper~y belong-
~~9 ro :a~a ra~caref. ROGER POITRAS
NAME OF TAXPAYER LERK CIRCUI? COURT~
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RESIDENCE
5Z5 ~•rt? Lota ~cwt
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~ort Pi~ro~ r3da- -
CLASS OF TAX UNPAID BALANCE
;Tox Return Fo?m No.l PERIOD ENOED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o? (b ) (c ) id 1 fe )
101~0 12-31-68 2.~lt-69 2~-3~-495Z ~11b.00
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~ PLACE OF FILfNG C~~ ~i;
, TOTAL S
st~ T~30~ Q~
~ ~02`~r ~t~~ ~312'~+~a
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~ iITML Pal~ D~aOh, l3+0l1+dt , on thi s,
~ ~ITNESS my hand at - -
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. rhe 2~ doy of ~~r ,19 ~
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~ ~IGNATU TITLE '
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~1~8 rr • (iR~oiB ~ Q~O~ SUp~tYI9~t
, (NOTE: Cert7Ficore o~ offictr outhorit~d by low to tok~ otknowled9mems is not ~ssen~iol to tbe volidity of Notic~ of F~d~rol Toi Lien G.C.M.
` 26d19. C.B. 195~51. 125.) 187 t,J~
800K qlGf
PART 1 To be retoined by recording office
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