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Form 668 oEr~~Nr oF tHE nEwwcr-r~tEw~t ~v[?~ SEevKE Fo? Opr~ond U,. y f.oo~d~y OACcr
trt~v ~-~o) NOTKE OF FEDfRAI TAX L~1 UND~ NTQNAL REYEM~ IAMIS
DISTRICT SERIAI NUMBER f~LEO AND RECO~i0E0
- ST a06ERCP0ITRAS ~A
.IACkSG;:VI.LLr, - -
CLERI~ CIACUIT C-O~UR.T~y~?, ~
7~,RUO~t to the provisions of Sections 6321, 63?2, and 6323 of tF?e internal Revs IIECORO VER IEO~'~'4
nue Code, notice is hercby giveri thot there hav~ beeo assessed under the Internai
Revenue lows of the United Stota agoirut the following-named roxpoper. taxes (includ- ~ 23 ~~N
ing interest ond penolties) wfiich ofter demond for po~rment thereof remain unpoid. ond
lhot by virtue of the obovtmentioned staiutes the omount of said roxes, together with ~iOQ
penalt~es, interesr, ond costs tha~ rtwy acuue in oddtion thereto, ~s a lien in fovor of O~~
the Unired States upon oll prope~y and rights ro properfr be~a?ging to soid ronpayer.
NMAE OF UXPAYER
: ~.i~Y L:.E in'ILLIA: S
RESIDENCE
:T3~LY~10
,T FI ~C:. FL ~ ~ ~ _ -
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSNIENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~ Ia1 rol k1 ldl k1
- lc~n i2-3Z-~9 ~~-?1-?1 2K'-1+2-'`~91:- w23.2~
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~'.~~E OF F~I~NG CLr~t'. ~IRC'TT CO['RT -
~T L'~C;,~ C'. : ~ - TOTAL t 23.2~s
h'T Pi'c~tf:E~ FL(~'RI:iA _
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. ia.^:i, Florida , on thn,
`rMT1~5S rrry hond ot
the 1~ t~' dop of J vn ~ 9 'jl -
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TITLE
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