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~ Form 668 DEMRTMENT OF TME ilEASU~I-tNiERNAI REVENUE SEINKE Fa Op?bnol Use ~ R~cordinp OlFic~
~~v. t-~o? NOTKE OF fEDERAI TAX IIEI~ UNDHt MItBtNAt REVENUE IAWS
DiSTRICT SERIAL NUMBER
Ja ekson~•311~ ~MO~tEC
~~1~ C0111~ ' _
Pursvant to the provisions of Sec~ions 6321, 6322, ond 6323 of the Ir.ternal Reve- ~E~
nue Code, notice is hereby given that there have been assessed under the Inte~nal 6L f~K CIFCUI~
RE~ORn VERic1EQ
Revenue lows of Ihe United Stotes ngainst the following-ncmed t~xpoyer, taxes ~intlvd-
ing interest and penalties) which aker demand for payment thereof remain unpa~d. and t~2
that by virtue of the above-mentioned statu~es the omount of said toxes, together w:!h ~ t
penalties, interes!, cnd costs that moy accrue in addition thereto, is o lien in favor of
the United $tates upcn all property and rights to property belonging to said ~oxpayer. _
241138
N~tNE OF TAXPAYER ~;Px J. r< Paula J. ?~,ol1e~~
e~StDENCE NoutP 3 - ~oY ~2~
Fort. PiercP. Ftorida 334 Ko
UNPAID BALANCE
' KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
Iol (b1 kl Zd) ~e1 -
1~4e t2.31_5q ~to_?_72 23u-2a7Rt3 ~K,~8t.49
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PUCE OF FILING
Clerk, ClrcuR Court
SL LUCIA COU~ty TOTAL s K, 48.1. L9
~ Fo~t Pierce, Florida
R
WITNESS my hand at ;ii2+~i~ Fl ori da , on this,
the _?~t,t~ day of C ct ob er ~ ~ q~ 2,
GNA U • TITLE •
/f ~ .ie . OfficA Eranch
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( : C iFicate of officer outhorized by law to toke acknowledgmenh is not essential to Ihe volidity of Nonce of Federol Tox lien G.C.M.
26419, C. . 1950-S1, 125.)
PART 1-To be nfoin~d by rocordin~ of7ico
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