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Form 668 OEPARTMEM OF iHE TREASIAtY-MERNAL RfVENUE SERYICE
~r~v ~-~o~ NOTICE OF ~EDERAL ~l( l~N UNDBt MITERNAt REYEMtIE LAWf s, ~uc~c cavN r
p~~~~ SE IAL NUlu~ ~OGEa Pt?ITqAS
Baltimore 5~220-?2~~-540 CIERK C~:iG;i~T COURT ~
IIECORD VEf?~~~f~~~. .
Pursuant to the prov~sions of Sections 6321, 6322, and 6323 of the Internol Rev~ ~u ~
nue Code, notice is hereby given that there have been assessed undet the Internal ~~3 ~ S3 1{Il ~Z
Revenue laws of the United States against the follawing-named toxpayer, taxes (includ-
ing interest and penatties) which oRer demand for payrnent thereof remoin unpaid. and ~1984
that by virtue of the above-mentioned stotutes the amount of said toxes, together wi~h
penolt~es, i~terest, and cosis that moy accn~e in addtion thereto, is a lien in favor of
the United Stotes upon all property and rights to propertr belonging ro said ta~ayer.
NAME OF TAXF~AYER
Donald R.J. White
RESIDENCE
Rt•2~ Slringfield Road
Gar•mar,to~n, Mi. 2076?
UNP/UD BAIANCE
KIND OF TAX TAX PERfOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
; lal ro1 <<1 ~d~ ~e~
~ 9~ 7opy 2-7-?2 265l~Oe9]96o1 2
~ 578-28-946~ 35,791.36
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PLACE OF FILING
Clerk of the Circuit Court . TOTAI S 35~791•36
~ St. Lucie Couaty
~ Ft. Pierce, Florida 33450
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WITNESS my hond at T~~tOri~ I"~Ylc'~Tli~ _ , on this,
rhe 2 th ~r of ~"~Y , 19 7~
SIGNATURE T1TLE v~~
~ Revenue ~P'i c e~ ~~~1
~ ( TE: C ificote of ofFicer ovihorized o toke ocknow!eogmenK ~s not esseotia~ to the vo6d~ty of Not~ce of feduol Toz l~en G.C.M.
26d19, C.B. 1950-51, 125.)
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PART 1-To be refaned br recording ofFice
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