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Form 668 oEFAltrrr+EMr oF niE TREwSUn-wtEed/u tFVENUE 5ftv~CE For Opl~onol Use By Recnrdng O~Fce
~REV. ~a~i~ NOTKE Of fEDBtAI TAX U~i UND~ ~IiBtNAI REYENUE LAMIS
DISTRICT . SERIAL NUAABER
ST
~UC
E COUtIT1 f[~ ~
Jacksonville ROCER POItRAs
CIERK CIRCUIT COUIIT ~ ,
Pilrsuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Reve- RECORO VER~FIEO~.~.,..~,~ '
nue Code, no6ce is hereby given that there have been assessed under the Interna) ~11 2 se PM
Revenue laws of the United Stotes against the following-narned taxpayer, taxes (includ- ~
ing interest and penalties~ which aNer demand for payment thereof remain unpaid. ond ~
fhat by virtue of the above-mentioned statutes the omount of said taxes, together with 2~23 ~
penalties, interest, and costs that may accn?e in addition thereto, is a lien in favor of
the United States upon all property and righh to propery belonging to said taxpayer.
NAME OF TAXPAYER
Modco, Inc.
RESIDENCE 3300 Swindell Road
P.O. Box 1645
Lakeland, Florida 33801
UNPAID BALANCE '
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
~a) ro~ (d) (e)
941 12-31-71 03-13-72 59-1355401 1,219.33
j 941 03-31-72 OS-08-72 59-1355401 3,812.58
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PLACE OF FILING
Clerk of the Circuit Court TOTAL ; 5,031.91
St. Lucie County
F Pierce Florida
WITNESS mr hand at TempB ~ Fiorida , on this,
rhe 9th ~y of 1~Y , 19 72
80~( #'~6E
SIGNATURE ~ ~J TITLE
l Group Supervisor
l,
(NOTE: Certificote of oPRcer outhorized by law to take ocknowledgments is not essentid to ths volidity of Notice of fsderol Tax lien G.CJrI
26419, C.B. 1950-S1, 125.)
PART 1-To be ratained by recording oRke
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