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Form 668 oE?NtTMENt OF n+E nlEww~n-wTEw~u tEVENUE SEtv+CE
~a~v ~.~o~ NOTKE Of fED~AI TAX l~N UNDHt tNTBtNAI REYENUE IAWS ST. LUCIE COUNTY. FLA:=
DISTRICT SERIAL NUMBER ~rCOR~ vERi~~Eo
2G OOOg
PuRUanf to the provisions of Sections 6321, 6322, and 6323 of the Interno! Reve- ~n O~T p1~ S!
nue Code, notice is hereby given thot there have been assessed under the Internoi ~ ~r~~ 0
Revenue taws of ~he United Stotes agoinst the following-named toxpayer, tnxes (+ncl~~ ~
ing intetest and penalties~ which ofter demand for paymat?t thereof remain unpoid. ond
that b~? virtve of the abovementioned statutes the amount of wid taxes, togethxr with i~OGEft FOITR~S
penolties, interest, and costs thot moy accrue in additioe thereto, is a lien in fovor of CLERK CfRCUtT COURT+
the United Stotes upon all properly and ~ighh to properfy betonging to said taxpayer.
NAME OF TAXPAYER
?~RT k HET'1? S~i~Ax
RESIDENCE
!'~e't Pi~l''O~~ 13~a'i+da•331~,54
UNPAID BAlM1CE
KIND OF TAX TIU( PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
lpl (~l kI ldf l~l
1p~p 12~31-69 6-12-?'0 ~64~26-3365 191.d1
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PUCE Of FIIING Qk!'k~ C~~t ('i00Z't
~ ~ TOTAL t 191.81
~ li~ro~~ !'la.
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t~ 1iii~at Pala DMOL, ~Lari.d~
~ ~nn~ESS no~d ~ , ~~s,
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t!~e daY of a~l' , 19 ~
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~ ~ E ~ TiTIE
~ t~re~ ~r~'1a~r
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(NOTE: ~~t~ficaR~ authorit~d br law to bb ocknow~~d0m«?Is if no1 ~r~tid b th~ voGdily of NoAa oF Frd~rd Tox li~n G.C.JYI
~6419, C.S. 1950-S1, 1?S.)
PART 1-To b~ htain~d b~? ncor~n~ oAk~ ~6Or~~ ~46~~~~
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